Provider Demographics
NPI:1760853543
Name:CARTER MEDICAL MANAGEMENT, INC
Entity Type:Organization
Organization Name:CARTER MEDICAL MANAGEMENT, INC
Other - Org Name:PRIME MEDICAL RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-738-1888
Mailing Address - Street 1:6910 OSLO CIR
Mailing Address - Street 2:SUITE A2
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621
Mailing Address - Country:US
Mailing Address - Phone:714-738-1888
Mailing Address - Fax:714-738-1889
Practice Address - Street 1:6910 OSLO CIR
Practice Address - Street 2:SUITE A2
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621
Practice Address - Country:US
Practice Address - Phone:714-738-1888
Practice Address - Fax:714-738-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management