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Organization
EMANATE HEALTH MEDICAL GROUP
Active
Organization
EMANATE HEALTH MEDICAL GROUP
Active
Other names
Citrus Valley Physician Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BRACY MD (PRESIDENT)
(626) 858-8580
Entity
Organization
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 858-8580
(626) 858-8582
Mailing address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 858-8580
(626) 858-8582
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
CA
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
07/11/2019
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