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Contact Information

CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC
1142 ROSE AVENUE
SELMA, CA93662
 Phone: 559-891-8940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC

NPI Number 1306988746
LBN Legal business name CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC
Authorized official MARC JOHNSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
CA License # A79547
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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