Organization
CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC DOUGLASS JOHNSON MD (CEO)
(831) 901-6856
Entity
Organization
Contact information
Practice address
1142 ROSE AVENUE, SELMA, CA 93662
(559) 891-8940
Mailing address
PO BOX 52060, PACIFIC GROVE, CA 93950
(831) 901-6856
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
A79547
CA
2083X0100X
Occupational Medicine Physician
A79547
CA
208D00000X
General Practice Physician
Primary
A79547
CA
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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