Organization
EMMANUEL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA HERNANDEZ RN (PRESIDENT)
(323) 721-5524
Entity
Organization
Contact information
Practice address
1817 W BEVERLY BLVD, MONTEBELLO, CA 90640-3935
(323) 721-5524
(323) 837-1465
Mailing address
1817 W BEVERLY BLVD, MONTEBELLO, CA 90640-3969
(323) 721-5524
(323) 837-1465
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
CA
305S00000X
Point of Service
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G424331
—
CA
Enumeration date
10/27/2006
Last updated
03/31/2026
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