| Correctional Health Management Of California Inc | |
|
473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 | |
| (626) 223-5071 | |
| Not Available |
| Full Name | Correctional Health Management Of California Inc |
|---|---|
| Speciality | General Practice |
| Location | 473 S Carnegie Dr Ste 200, San Bernardino, California |
| Authorized Official Name and Position | Kelly Martin (OWNER) |
| Authorized Official Contact | 6262235071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Correctional Health Management Of California Inc 473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 Ph: (626) 223-5071 | Correctional Health Management Of California Inc 473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 Ph: (626) 223-5071 |
| NPI Number | 1891577920 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 3274986146 |
|---|---|
| Medicare Enrollment ID | O20240126001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891577920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Paul Adler |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1306909544 PECOS PAC ID: 3870558091 Enrollment ID: I20220708001675 |
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