Organization
PRECISION OCCUPATIONAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRIAR BAMSHAD M.D. (PRESIDENT)
(949) 955-0022
Entity
Organization
Contact information
Practice address
1321 NORTH GARVEY AVE. WEST, WEST COVINA, CA 91790-2242
(949) 955-0022
(949) 955-0220
Mailing address
1809 E DYER RD STE 313, SANTA ANA, CA 92705-5740
(949) 955-0022
(949) 955-0220
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
FNP 35685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601761702
US DEPT. OF LABOR
CA
01
—
ZZZ52888Y
BLUE SHIELD
CA
Enumeration date
06/01/2007
Last updated
03/04/2010
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