Organization
FOOTHILL FAMILY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD YAQUB M.D (PRESIDENT)
(909) 899-7800
Entity
Organization
Contact information
Practice address
13677 FOOTHILL BLVD, Q, FONTANA, CA 92335-0505
(909) 899-7800
(909) 899-3163
Mailing address
13677 FOOTHILL BLVD, Q, FONTANA, CA 92335-0505
(909) 899-7800
(909) 899-3163
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00A45127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A451271
—
CA
Enumeration date
01/03/2008
Last updated
11/07/2023
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