California Occupational Medicine Practice INC
General Practice in Selma, CA. Organization (NPI-2).
NPI number1306988746
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1306988746
- Entity type
- Organization (NPI-2)
- Legal business name
- California Occupational Medicine Practice INC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | A79547 | CA | Yes |
| 2083S0010X | Preventive Medicine, Sports Medicine | A79547 | CA | |
| 2083X0100X | Preventive Medicine, Occupational Medicine | A79547 | CA |
Practice location
1142 Rose AvenueSelma, CA 93662
Phone 559-891-8940
Mailing address
Po Box 52060Pacific Grove, CA 93950
Phone 831-901-6856
Authorized official
Marc Douglass Johnson
Ceo
8319016856
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