Provider Demographics
NPI:1215462080
Name:MAS MANAGEMENT GROUP, INC.
Entity type:Organization
Organization Name:MAS MANAGEMENT GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-768-3518
Mailing Address - Street 1:28446 CONSTELLATION RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5081
Mailing Address - Country:US
Mailing Address - Phone:800-768-3518
Mailing Address - Fax:
Practice Address - Street 1:28446 CONSTELLATION RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5081
Practice Address - Country:US
Practice Address - Phone:800-768-3518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAWLS7010332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site