Provider Demographics
NPI:1720232622
Name:GLOBAL MED MANAGEMENT LLC
Entity Type:Organization
Organization Name:GLOBAL MED MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WISSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-905-6000
Mailing Address - Street 1:14622 VENTURA BLVD
Mailing Address - Street 2:SUITE 725
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3600
Mailing Address - Country:US
Mailing Address - Phone:818-905-6000
Mailing Address - Fax:800-915-0607
Practice Address - Street 1:14622 VENTURA BLVD
Practice Address - Street 2:SUITE 725
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3600
Practice Address - Country:US
Practice Address - Phone:818-905-6000
Practice Address - Fax:800-915-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site