# CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679831242
- **Authorized official:** MR. GREGORY JOSEPH SPEER (ADMINISTRATOR)
- **Authorized official phone:** (951) 222-2206

## Contact information

- **Practice address:** 18575 GALE AVE, SUITE 155, CITY OF INDUSTRY, CA 91748-1340
- **Practice address phone:** (626) 581-8960
- **Practice address fax:** (626) 581-8536
- **Mailing address:** 4300 CENTRAL AVE, RIVERSIDE, CA 92506-2918
- **Mailing address phone:** (951) 222-2206
- **Mailing address fax:** (951) 222-2196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 04/08/2015