# CORRECTIONAL HEALTH MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205576345
- **Authorized official:** KELLY MARTIN (OWNER)
- **Authorized official phone:** (626) 223-5071

## Contact information

- **Practice address:** 473 EAST CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
- **Practice address phone:** (626) 223-5071
- **Mailing address:** 473 EAST CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
- **Mailing address phone:** (626) 223-5071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 03/29/2022