Organization
CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI
Active
Other names
COMP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOSEPH SPEER (ADMINISTRATOR)
(951) 222-2206
Entity
Organization
Contact information
Practice address
3688 S SOTO ST, VERNON, CA 90058-1701
(323) 923-0011
(323) 923-0012
Mailing address
4300 CENTRAL AVE, RIVERSIDE, CA 92506-2918
(951) 222-2206
(951) 222-2196
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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