Podiatry

Ophthalmology

Optometry

Audiology

Chiropractic Care

Wound Care

Provider Billing Service















Corporate Offices


Northern Califorrnia
1755 W. Hammer Lane
Suite 7B
Stockton, CA 95209



 Southern California
425 W, Bonita Ave
Suite 110A
San Dimas, CA 91773











Spectrum Medical Management Services

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Online Payment Form

This form must be filled out in addition to making payment.
If form is not submitted payment WILL NOT be recorded.

Patient Name (Last, First):
Account #:
Responsible Party Name: (Last, First)
Billing Address 1:
Billing Address 2:
City:
Zip Code: (5 digits)
State:
Responsible Party Phone:
Responsible Party Email:
Department (ex. Optometry, Podiatry):
Name of Facility:
Comments:

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