Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Occupational Medicine Providers - Ontario, a Medical Corporati

Organization Family Medicine Physician · NPI 1104184860

Central Occupational Medicine Providers - Ontario, a Medical Corporati is a Family Medicine Physician in Moreno Valley, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
8
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Practice location Address checks out

13800 Heacock St Ste C136
Moreno Valley, CA 92553-3339
Phone: (951) 656-6009
Fax: (951) 656-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Clinic/Center (primary) Taxonomy 261QX0100X
Family Medicine Physician Taxonomy 207Q00000X · Licence A48324 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A43039 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A5982 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 48512 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G70519 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 20A9190 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G72529 (CA)

Record details

NPI number1104184860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Speer — Administrator · (951) 222-2206
Other names Comp
NPI enumeratedMay 1, 2012
Last updated in NPPESApril 14, 2015
Mailing address4300 Central Ave, Riverside, CA 92506-2918

Other providers in Moreno Valley