1528178878 NPI number — CHELSEA MANAGEMENT, INC.

Table of content: (NPI 1528178878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528178878 NPI number — CHELSEA MANAGEMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHELSEA MANAGEMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CLINIC PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528178878
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14111 FREEWAY DR
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
SANTA FE SPRINGS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90670-5822
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-407-9338
Provider Business Mailing Address Fax Number:
562-407-9340

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 REDONDO AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90806-2325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-988-7445
Provider Business Practice Location Address Fax Number:
562-424-1633
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GLOBERMAN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
562-407-9338

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PHY44776 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0521484 . This is a "NCPDP" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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