Organization
EMANATE HEALTH IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUADALUPE HERRERA (VP, STRATEGY & CLINICAL INT)
(626) 664-2253
Entity
Organization
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 858-8580
Mailing address
1041 W BADILLO ST STE 104, COVINA, CA 91722-4194
(626) 732-4188
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/13/2023
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