Provider Demographics
NPI:1528178878
Name:CHELSEA MANAGEMENT, INC.
Entity Type:Organization
Organization Name:CHELSEA MANAGEMENT, INC.
Other - Org Name:CLINIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-407-9338
Mailing Address - Street 1:14111 FREEWAY DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-5822
Mailing Address - Country:US
Mailing Address - Phone:562-407-9338
Mailing Address - Fax:562-407-9340
Practice Address - Street 1:2600 REDONDO AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2325
Practice Address - Country:US
Practice Address - Phone:562-988-7445
Practice Address - Fax:562-424-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY447763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0521484OtherNCPDP
CA1237180002Medicare NSC