Organization
CONCENTRA WORKSITE OF CALIFORNIA, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOM FOGARTY MD (EVP, CMO)
(972) 364-8000
Entity
Organization
Contact information
Practice address
1011 LOCKHEED WAY, BUILDING 601, MZ: 1045, PALMDALE, CA 93599-0001
(661) 572-4017
(661) 572-4873
Mailing address
5080 SPECTRUM DR, SUITE 1200W, ADDISON, TX 75001-4648
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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