BLUE OAK MEDICAL GROUP – NPI #1851758940
Clinic/Center

BLUE OAK MEDICAL GROUP is an AHC clinic located in INDIO, CA. NPPES has assigned the NPI number 1851758940 to BLUE OAK MEDICAL GROUP on January 21, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QX0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Occupational Medicine

The NPI profile was previously updated about 8 years ago on Sep 04, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE OAK MEDICAL GROUP below.

NPI Profile for
BLUE OAK MEDICAL GROUP

NPI Number
1851758940
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE OAK MEDICAL GROUP
Primary location
44105 JACKSON ST STE C
INDIO, CA 92201
Phone: (909) 204-6610 Fax:
Mailing address
10801 NATIONAL BLVD STE 401
LOS ANGELES, CA 90064-4143
Phone: Fax:
Organization Subpart
No
Authorized Official
ROBIN CHORN
DIRECTOR
Phone: (424) 258-5716
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QX0100X
- Clinic/Center / Occupational Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.