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FOOTHILL FAMILY PRACTICE MEDICAL GROUP INC NPI 1134201866


NPI Information

NPI: 1134201866
Provider Name: FOOTHILL FAMILY PRACTICE MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0887139

Address:
440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741
Phone: (626) 963-9402
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FOOTHILL FAMILY PRACTICE MEDICAL GROUP INC is a family medicine in Glendora, CA. The provider is 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. FOOTHILL FAMILY PRACTICE MEDICAL GROUP INC NPI is 1134201866. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741-361
Phone: (626) 963-9402
Fax: (626) 623-7244

The provider's authorized official is Frank J Glavan .
The authorized official title is Ceo and has the following contact phone number (626) 963-9402.

The CLIA number assigned to this NPI record is 05D0887139 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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