Organization
EMANATE HEALTH IMAGING
Active
Other names
Citrus Diagnostic Imaging Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J UNDERWOOD MD (PRESIDENT)
(951) 236-8371
Entity
Organization
Contact information
Practice address
828 S GRAND AVE STE 104, GLENDORA, CA 91740
(626) 963-2057
(626) 963-4298
Mailing address
210 W. SAN BERNARDINO ROAD, COVINA, CA 91723-1515
(626) 732-3159
(626) 732-3194
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
07/11/2019
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