OrganizationActive
Central Occupational Medicine Providers - Ontario, a Medical Corporati
NPI 1104184860 · Occupational Medicine Clinic/Center · Moreno Valley, CA
Provider details
- NPI number
- 1104184860
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gregory Speer, Administrator
- License
- A48324 (CA)
Practice location
13800 Heacock St
Suite C136
Moreno Valley, CA 92553-3339
Phone: (951) 656-6009
Fax: (951) 656-6010
Mailing address
4300 Central Ave
Riverside, CA 92506-2918
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2015-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.