EMANATE HEALTH IMAGING NPI 1093240004

NPI Information

  • NPI: 1093240004
  • Provider Name: EMANATE HEALTH IMAGING
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Former Legal Business Name: CITRUS DIAGNOSTIC IMAGING CORP
  • CLIA Number: 05D2118159
  • Address: 828 S GRAND AVE STE 104
    GLENDORA, CA
    ZIP 91740
  • Phone: (626) 963-2057

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NPI Details

EMANATE HEALTH IMAGING is a diagnostic radiology radiology in Glendora, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EMANATE HEALTH IMAGING NPI is 1093240004. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Citrus Diagnostic Imaging Corp.

The provider's business location address is:

828 S GRAND AVE STE 104
GLENDORA, CA
ZIP 91740
Phone: (626) 963-2057
Fax: (626) 963-4298

The provider's authorized official is David J Underwood .
The authorized official title is President and has the following contact phone number (951) 236-8371.

The CLIA number assigned to this NPI record is 05D2118159 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 7/11/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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