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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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