Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foothills Neurological Medical Gp

Organization Neurology Physician · NPI 1154317584

Foothills Neurological Medical Gp is a Neurology Physician in San Dimas, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1330 W Covina Blvd #103
San Dimas, CA 91773-3200
Phone: (909) 592-2145
Fax: (909) 599-6217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence A43523 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence A33406 (CA)

Record details

NPI number1154317584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gail Young — Administrator · (909) 592-2145
NPI enumeratedSeptember 21, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address1330 W Covina Blvd, 103, San Dimas, CA 91773-3200

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