Provider Demographics
NPI:1114332525
Name:GO2MEDICAL MANAGEMENT SERVICES, INC.
Entity type:Organization
Organization Name:GO2MEDICAL MANAGEMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-554-1963
Mailing Address - Street 1:2003 S. EL CAMINO REAL
Mailing Address - Street 2:STE. 204
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054
Mailing Address - Country:US
Mailing Address - Phone:888-405-2505
Mailing Address - Fax:888-316-3027
Practice Address - Street 1:2003 S EL CAMINO REAL
Practice Address - Street 2:STE. 204
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6214
Practice Address - Country:US
Practice Address - Phone:888-405-2505
Practice Address - Fax:888-316-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABL-1255142251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health