# MEDIMANAGEMENT LLC

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

## Provider details

- **NPI number:** 1508258419
- **Authorized official:** DAVE BROWN (CEO)
- **Authorized official phone:** (805) 522-9274

## Contact information

- **Practice address:** 16130 KOKANEE RD STE 101, APPLE VALLEY, CA 92307-0833
- **Practice address phone:** (805) 522-9274
- **Practice address fax:** (805) 522-9374
- **Mailing address:** 16130 KOKANEE RD STE 101, APPLE VALLEY, CA 92307-0833
- **Mailing address phone:** (805) 522-9274
- **Mailing address fax:** (805) 522-9374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/02/2015