Provider Demographics
NPI:1346749371
Name:H&C MEDICAL MANAGEMENT
Entity Type:Organization
Organization Name:H&C MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CORIOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-355-9116
Mailing Address - Street 1:41743 ENTERPRISE CIR N STE 204
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5625
Mailing Address - Country:US
Mailing Address - Phone:951-355-9116
Mailing Address - Fax:
Practice Address - Street 1:44065 MARGARITA RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-2741
Practice Address - Country:US
Practice Address - Phone:951-355-9116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization