Organization · Type 2 NPI

Emanate Health Medical Center

Specialist · Covina, CA

NPI number 1407871965 Active

Practice location

315 N 3rd Ave Ste 203
Covina, CA 91723-1915

Call (626) 331-7331 Map

Mailing address

PO Box 840145
Los Angeles, CA 90084-0145

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Covina

See all in Covina →

NPI record

NPI: 1407871965
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Oct 27, 2020
Status: Active
Subpart: Yes of Emanate Health

Other names

<unavail>
Emanate Health Inter-Community Hospital · doing business as
Intercommunity Screening Center · doing business as
Intercommunity Screening Center · doing business as
Citrus Valley Medical Center Inc · former legal business name

Authorized official

Roger Sharma
Executive VP/cfo
(626) 938-7595

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407871965

Emanate Health Medical Center's National Provider Identifier is 1407871965, issued on Jul 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Covina, CA. The record was last updated on Oct 27, 2020.