Organization
CHRONIC CARE MANAGEMENT GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROWNELL PAYNE MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR STE 505, LOS ANGELES, CA 90008-3656
(323) 903-5452
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
02/22/2019
Last updated
02/28/2020
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