Organization
FOOTHILL PEDIATRIC & ADOLESCENT CLINIC
Active
Other names
George M Madanat M Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M MADANAT MD (PRESIDENT)
(909) 599-6876
Entity
Organization
Contact information
Practice address
1330 W COVINA BLVD, SUITE 106, SAN DIMAS, CA 91773
(909) 599-6876
(909) 592-9787
Mailing address
1330 W COVINA BLVD, SUITE 106, SAN DIMAS, CA 91773
(909) 599-6876
(909) 592-9787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
10/15/2013
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