OrganizationActive
Biogenx Medical
NPI 1962912246 · Preventive Medicine/Occupational Environmental Medicine Physician · Glendora, CA
Provider details
- NPI number
- 1962912246
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Otiko, Manager(818) 836-2475
- License
- G77666 (CA)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense G77666 (CA)
Allopathic & Osteopathic Physicians
Practice location
620 S Glendora Ave Ste B
Glendora, CA 91740-6815
Phone: (818) 836-2475
Fax: (310) 943-1475
Approximate (ZIP-level) locationGet directions
Mailing address
620 S Glendora Ave Ste B
Glendora, CA 91740-6815
Other names (DBA / former)
- Doing business as
- Biogenx Medical
- Doing business as
- Coast to Coast Medical
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2018-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.