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General NPI Number Information
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NPI Number | 1851364855
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL MANAGEMENT, INC.
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 1680 N WATERMAN AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5113
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Country | US
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Telephone | 909-886-5291
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Fax | 909-882-4513
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Provider Business Mailing Address
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Address Line | PO BOX 3000
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City | LOMA LINDA
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State | CA
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Zip | 92354-9000
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Country | US
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Telephone | 909-796-2595
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Fax | 909-796-8797
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JAMES B. KILIAN
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Credential |
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Telephone | 909-796-2595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 240000216
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License Number State | CA
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