MEDICARE: SHERMAN MEDICAL MANAGEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1841451358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERMAN MEDICAL MANAGEMENT

Provider Business Mailing Address
First Line	:	8440 MERRY HILL WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-5000
Country	:	US
Telephone Number	:	714-348-6126
Fax Number	:	916-682-0166

Provider Business Practice Location Address
First Line	:	8440 MERRY HILL WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-5000
Country	:	US
Telephone Number	:	714-348-6126
Fax Number	:	916-682-0166

Authorized Official
Title or Position	:	OWNER/PARTNERSHIP
Name	:	MS. BRIANNE ELIZABETH SHERMAN
Credential	:
Telephone Number	:	714-348-6126

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	01/02/2009

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