Agile Occupational Medicine, Pc

LBN: Agile Occupational Medicine, Pc
Agile Occupational Medicine, Pc is an health care organization with primary practice located at 15401 S Main St , Gardena CA 90248-2214. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Occupational Medicine is the primary health care specialty. Agile Occupational Medicine, Pc can be contacted via phone (310) 403-1491, or through Moore, Gregory via phone (310) 403-1491.

Contact Information

Primary practice address
15401 S Main St Gardena CA 90248-2214
Phone: (310) 403-1491
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Gregory MPH
Phone: (310) 403-1491

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1992375133
LBN Legal business name Agile Occupational Medicine, Pc
DBA Doing business as
Authorized official Moore, Gregory MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2021
Last updated Jul 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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