Provider Demographics
NPI:1184285827
Name:GURMU OCCMED SERVICES INC
Entity type:Organization
Organization Name:GURMU OCCMED SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DABI
Authorized Official - Middle Name:JONKE
Authorized Official - Last Name:GURMU
Authorized Official - Suffix:
Authorized Official - Credentials:MD; MPH
Authorized Official - Phone:559-644-5225
Mailing Address - Street 1:500 GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3515
Mailing Address - Country:US
Mailing Address - Phone:559-644-5225
Mailing Address - Fax:559-587-5557
Practice Address - Street 1:500 GREENFIELD AVE
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3515
Practice Address - Country:US
Practice Address - Phone:559-587-5587
Practice Address - Fax:559-587-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty