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Emmanuel Medical Providers
Family Medicine Physician in Montclair, California
NPI 1992760417

Emmanuel Medical Providers is a Family Medicine Physician based in Montclair, CA. Emmanuel Medical Providers practices in Montclair, CA. The NPI Number for Emmanuel Medical Providers is 1992760417 and holds a License No. C39980 (California).

The current practice location address for Emmanuel Medical Providers is 9675 Monte Vista Ave, Montclair, CA and can be reached out via phone at 909-447-5554 and via fax at 909-447-5582.

Location: 9675 Monte Vista Ave, Montclair, CA, 91763-2213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992760417
Provider Name
Emmanuel Medical Providers
Credential
Provider Entity Type
Organization
Address
9675 Monte Vista Ave, Montclair, CA, 91763-2213
Phone Number
909-447-5554
Fax Number
909-447-5582
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C399801 05 CA
institution
Provider Business Practice Location Address Details
Address
9675 Monte Vista Ave
City
Montclair
State
California
Zip
91763-2213
Phone Number
909-447-5554
Fax Number
909-447-5582
person
Provider Business Mailing Address Details
Address
9675 Monte Vista Ave
City
Montclair
State
California
Zip
91763-2213
Phone Number
909-447-5554
Fax Number
909-447-5582
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C39980 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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