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Organization
EMMANUEL MEDICAL PROVIDERS
Active
Organization
EMMANUEL MEDICAL PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEE BENG K LIM MD (CEO)
(909) 447-5554
Entity
Organization
Contact information
Practice address
9675 MONTE VISTA AVE, STE B, MONTCLAIR, CA 91763-2213
(909) 447-5554
(909) 447-5582
Mailing address
9675 MONTE VISTA AVE, STE B, MONTCLAIR, CA 91763-2213
(909) 447-5554
(909) 447-5582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C39980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C399801
—
CA
Enumeration date
04/18/2006
Last updated
08/22/2020
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