Organization
EMANATE HEALTH MEDICAL CENTER
Active
Parent organization
EMANATE HEALTH
Other names
Emanate Health Inter-Community Hospital, INTERCOMMUNITY SCREENING CENTER, Citrus Valley Medical Center Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMANATE HEALTH
Authorized official
ROGER SHARMA (EXECUTIVE VP/CFO)
(626) 938-7595
Entity
Organization
Contact information
Practice address
315 N 3RD AVE STE 203, COVINA, CA 91723-1915
(626) 331-7331
Mailing address
PO BOX 840145, LOS ANGELES, CA 90084-0145
(626) 331-7331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171413
FDA APPROVAL#
CA
Enumeration date
07/13/2006
Last updated
10/27/2020
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