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Organization
CORRECTIONAL HEALTH MANAGEMENT OF CALIFORNIA INC
Active
Organization
CORRECTIONAL HEALTH MANAGEMENT OF CALIFORNIA INC
Active
Other names
Correctional Health Management
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARTIN (MANAGING DIRECTOR)
(800) 842-1598
Entity
Organization
Contact information
Practice address
473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
(626) 223-5071
Mailing address
473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
(800) 842-1598
(909) 884-0388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/13/2023
Last updated
04/02/2026
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