Healthcare Provider Details

I. General information

NPI: 1336259506
Provider Name (Legal Business Name): CHELSEA MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E GONZALES RD
OXNARD CA
93036-0619
US

IV. Provider business mailing address

14111 FREEWAY DR SUITE 208
SANTA FE SPRINGS CA
90670-5822
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-8118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY44779
License Number StateCA

VIII. Authorized Official

Name: MICHAEL GLOBERMAN
Title or Position: PRESIDENT
Credential:
Phone: 562-407-9338