Provider Demographics
NPI:1619192432
Name:DHR PROVIDER MANAGMENT, INC.
Entity Type:Organization
Organization Name:DHR PROVIDER MANAGMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:HOLT
Authorized Official - Last Name:REDLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-635-0434
Mailing Address - Street 1:16 SUNNY SLOPE
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-5556
Mailing Address - Country:US
Mailing Address - Phone:949-635-0434
Mailing Address - Fax:949-635-0436
Practice Address - Street 1:16 SUNNY SLOPE
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-5556
Practice Address - Country:US
Practice Address - Phone:949-635-0434
Practice Address - Fax:949-635-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty