| Chronic Care Management Group Inc | |
|
3756 Santa Rosalia Dr Ste 505 Los Angeles CA 90008-3656 | |
| (323) 903-5452 | |
| Not Available |
| Full Name | Chronic Care Management Group Inc |
|---|---|
| Speciality | Anesthesiology |
| Location | 3756 Santa Rosalia Dr Ste 505, Los Angeles, California |
| Authorized Official Name and Position | Brownell Payne (PRESIDENT) |
| Authorized Official Contact | 9495882190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chronic Care Management Group Inc 5 Holland Ste 101 Irvine CA 92618-2568 Ph: (949) 588-2190 | Chronic Care Management Group Inc 3756 Santa Rosalia Dr Ste 505 Los Angeles CA 90008-3656 Ph: (323) 903-5452 |
| NPI Number | 1760949044 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 02/28/2020 |
| Medicare PECOS PAC ID | 5799024931 |
|---|---|
| Medicare Enrollment ID | O20190305002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760949044 | NPI | - | NPPES |
| Provider Name | Brownell H Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720156490 PECOS PAC ID: 2365478831 Enrollment ID: I20050715000461 |
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