Provider Demographics
NPI:1891103974
Name:COMP, INC
Entity Type:Organization
Organization Name:COMP, INC
Other - Org Name:CALIFORNIA OCCUPATIONAL MEDICAL PROFESSIONALS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:530-534-5135
Mailing Address - Street 1:PO BOX 2055
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-2055
Mailing Address - Country:US
Mailing Address - Phone:530-534-5135
Mailing Address - Fax:530-532-0259
Practice Address - Street 1:1940 FEATHER RIVER BLVD
Practice Address - Street 2:SUITE #O
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-5723
Practice Address - Country:US
Practice Address - Phone:530-534-5135
Practice Address - Fax:530-532-0259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG54844261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine