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Organization
EMANATE HEALTH MEDICAL GROUP
Active
Organization
EMANATE HEALTH MEDICAL GROUP
Active
Other names
Foothill Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE H HADDAD (ASSISTANT DIRECTOR OF AMBULATORY BU)
(626) 732-3159
Entity
Organization
Contact information
Practice address
440 W FOOTHILL BLVD, GLENDORA, CA 91741-3361
(626) 963-9402
(626) 623-7244
Mailing address
1325 N GRAND AVE, SUITE 300, COVINA, CA 91724-4044
(626) 732-3159
(626) 732-3194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
12/05/2016
Last updated
09/06/2019
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