BIOGENX MEDICAL – NPI #1962912246
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

BIOGENX MEDICAL is a provider located in GLENDORA, CA. NPPES has assigned the NPI number 1962912246 to BIOGENX MEDICAL on October 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 8 years ago on Mar 02, 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 BIOGENX MEDICAL below.

NPI Profile for
BIOGENX MEDICAL

NPI Number
1962912246
Enumeration Date

(more than 8 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
BIOGENX MEDICAL
Doing Business As (dba): BIOGENX MEDICAL
Other name(s)
All associated names:
Doing Business As (dba)
BIOGENX MEDICAL
Doing Business As (dba)
Coast to Coast Medical
Primary location
620 S GLENDORA AVE STE B
GLENDORA, CA 91740-6815
Phone: (818) 836-2475 Fax: (310) 943-1475
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER OTIKO
MANAGER
Phone: (818) 836-2475
Updated
Identifiers

Identifiers for BIOGENX MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCALIFORNIA MEDICAL LICENSECAG77666
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
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
CA G77666

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.