# AIRWAY THERAPEUTIC MANAGEMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Airway Therapeutic Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275897217
- **Authorized official:** MR. LORENZO LIETTI (CEO)
- **Authorized official phone:** (951) 279-4950

## Contact information

- **Practice address:** 509 N SMITH AVE STE 105, CORONA, CA 92880-6902
- **Practice address phone:** (951) 279-4950
- **Practice address fax:** (951) 279-4994
- **Mailing address:** 509 N SMITH AVE STE 105, CORONA, CA 92880-6902
- **Mailing address phone:** (951) 279-4950
- **Mailing address fax:** (951) 279-4994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | C3449283 | CA | Yes |

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 10/17/2012