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EMANATE HEALTH MEDICAL CENTER NPI 1407871965


NPI Information

NPI: 1407871965
Provider Name: EMANATE HEALTH MEDICAL CENTER

Doing Business As: INTERCOMMUNITY SCREENING CENTER

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0688080

Address:
315 N 3RD AVE STE 203
COVINA, CA
ZIP 91723
Phone: (626) 331-7331
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EMANATE HEALTH MEDICAL CENTER is a specialist in Covina, CA. The provider is 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. EMANATE HEALTH MEDICAL CENTER NPI is 1407871965. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Intercommunity Screening Center.

The provider's business location address is:

315 N 3RD AVE STE 203
COVINA, CA
ZIP 91723-915
Phone: (626) 331-7331

The provider's authorized official is Roger Sharma .
The authorized official title is Executive Vp/cfo and has the following contact phone number (626) 938-7595.

The CLIA number assigned to this NPI record is 05D0688080 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/27/2020.


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
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1171413OTHERCALIFORNIAFDA APPROVAL#

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: 11/14/2023

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