Provider Demographics
NPI:1659311488
Name:MEDICAL MANAGEMENT RESOURCES, INC
Entity Type:Organization
Organization Name:MEDICAL MANAGEMENT RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MATULICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-691-6869
Mailing Address - Street 1:1901 E LAMBERT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5755
Mailing Address - Country:US
Mailing Address - Phone:562-691-6869
Mailing Address - Fax:562-691-5499
Practice Address - Street 1:1901 E LAMBERT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5755
Practice Address - Country:US
Practice Address - Phone:562-691-6869
Practice Address - Fax:562-691-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies