Organization
CORRECTIONAL HEALTH MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARTIN (OWNER)
(626) 223-5071
Entity
Organization
Contact information
Practice address
473 EAST CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(626) 223-5071
Mailing address
473 EAST CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(626) 223-5071
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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