Healthcare Provider Details

I. General information

NPI: 1487586012
Provider Name (Legal Business Name): LSMA MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 CARNEGIE DR STE 200
SAN BERNARDINO CA
92408-3542
US

IV. Provider business mailing address

1855 W REDLANDS BLVD
REDLANDS CA
92373-3145
US

V. Phone/Fax

Practice location:
  • Phone: 909-890-0407
  • Fax: 909-890-0575
Mailing address:
  • Phone: 909-890-0407
  • Fax: 909-890-0575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: ALBERT H ARTEAGA
Title or Position: PRESIDENT
Credential: MD
Phone: 909-890-0407