Organization
EMANATE HEALTH MEDICAL GROUP
Active
Other names
Citrus Valley Physician Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BRACY MD (PRESIDENT)
(626) 858-8580
Entity
Organization
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 858-8580
(626) 858-8582
Mailing address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 858-8580
(626) 858-8582
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
CA
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
07/11/2019
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