Emmanuel Medical Providers
Emmanuel Medical Providers is a Family Medicine Physician in Montclair, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
9675 Monte Vista Ave Ste BMontclair, CA 91763-2213
Phone: (909) 447-5554
Fax: (909) 447-5582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence C39980 (CA) |
|---|
Record details
| NPI number | 1992760417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dee Beng Lim — Ceo · (909) 447-5554 |
| NPI enumerated | April 18, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 9675 Monte Vista Ave, Ste B, Montclair, CA 91763-2213 |
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