A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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 |
| NPI Number | 1306988746 |
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| 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 |
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