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Foothills Neurological Medical Gp
Neurology with Special Qualifications in Child Neurology Physician in San Dimas, California
NPI 1154317584

Foothills Neurological Medical Gp is a Neurology with Special Qualifications in Child Neurology Physician based in San Dimas, CA and is specialized in Neurology with Special Qualifications in Child Neurology. Foothills Neurological Medical Gp practices in San Dimas, CA. The NPI Number for Foothills Neurological Medical Gp is 1154317584 and holds a License No. A33406 (California).

The current practice location address for Foothills Neurological Medical Gp is 1330 W Covina Blvd, San Dimas, CA and can be reached out via phone at 909-592-2145 and via fax at 909-599-6217.

Location: 1330 W Covina Blvd, San Dimas, CA, 91773-3200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154317584
Provider Name
Foothills Neurological Medical Gp
Credential
Provider Entity Type
Organization
Address
1330 W Covina Blvd, San Dimas, CA, 91773-3200
Phone Number
909-592-2145
Fax Number
909-599-6217
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A334060 05 CA
00A435230 05 CA
institution
Provider Business Practice Location Address Details
Address
1330 W Covina Blvd
City
San Dimas
State
California
Zip
91773-3200
Phone Number
909-592-2145
Fax Number
909-599-6217
person
Provider Business Mailing Address Details
Address
1330 W Covina Blvd
City
San Dimas
State
California
Zip
91773-3200
Phone Number
909-592-2145
Fax Number
909-599-6217
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
A43523 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
A33406 (California)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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