| Correctional Health Management, Llc | |
|
473 East Carnegie Drive Suite 200 San Bernardino CA 92408 | |
| (626) 223-5071 | |
| Not Available |
| Full Name | Correctional Health Management, Llc |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 473 East Carnegie Drive, San Bernardino, California |
| Authorized Official Name and Position | Kelly Martin (OWNER) |
| Authorized Official Contact | 6262235071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Correctional Health Management, Llc 473 East Carnegie Drive Suite 200 San Bernardino CA 92408 Ph: (626) 223-5071 | Correctional Health Management, Llc 473 East Carnegie Drive Suite 200 San Bernardino CA 92408 Ph: (626) 223-5071 |
| NPI Number | 1205576345 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205576345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
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