Provider Demographics
NPI:1306990015
Name:SIERRA OCCUPATIONAL SERVICES
Entity type:Organization
Organization Name:SIERRA OCCUPATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:SEPIOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-546-7767
Mailing Address - Street 1:1429 W FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95203-2627
Mailing Address - Country:US
Mailing Address - Phone:209-546-7767
Mailing Address - Fax:209-546-7785
Practice Address - Street 1:1429 W FREMONT ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95203-2627
Practice Address - Country:US
Practice Address - Phone:209-546-7767
Practice Address - Fax:209-546-7785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty