Organization
EMANATE PAIN MANAGEMENT MEDICAL GROUP PC
Active
Organization
EMANATE PAIN MANAGEMENT MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARMESH MEHTA MD (CEO)
(909) 689-6090
Entity
Organization
Contact information
Practice address
9120 HAVEN AVE STE 202, RANCHO CUCAMONGA, CA 91730-5413
(909) 803-0647
(626) 608-7322
Mailing address
PO BOX 209, COVINA, CA 91723-0209
(909) 803-0647
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
Update your record
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