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Organization

EMANATE HEALTH MEDICAL CENTER

Active
Parent organization
EMANATE HEALTH
Other names
Emanate Health Queen of the Valley Hospital, 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
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 962-4011
Mailing address
PO BOX 840147, LOS ANGELES, CA 90084-0147
(626) 962-4011

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209
BLUE CROSS SO CA
CA
05
5704424
CA
01
ZZZA1939Z
BLUE SHIELD CA
CA
Enumeration date
07/11/2006
Last updated
04/13/2026
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