Provider Demographics
NPI:1841451358
Name:SHERMAN MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:SHERMAN MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNERSHIP
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-348-6126
Mailing Address - Street 1:8440 MERRY HILL WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-5000
Mailing Address - Country:US
Mailing Address - Phone:714-348-6126
Mailing Address - Fax:916-682-0166
Practice Address - Street 1:8440 MERRY HILL WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-5000
Practice Address - Country:US
Practice Address - Phone:714-348-6126
Practice Address - Fax:916-682-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization