Emmanuel Medical Providers

LBN: Emmanuel Medical Providers
Emmanuel Medical Providers is an health care organization with primary practice located at 9675 Monte Vista Ave Ste B, Montclair CA 91763-2213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Emmanuel Medical Providers can be contacted via phone (909) 447-5554, or through Lim, Dee Beng K via phone (909) 447-5554.

Contact Information

Primary practice address
9675 Monte Vista Ave Ste B Montclair CA 91763-2213
Phone: (909) 447-5554
Fax: (909) 447-5582
Website:
Map and Directions
Authorized official contact:
Name: Lim, Dee Beng K Doctor of Medicine (MD)
Phone: (909) 447-5554

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C39980 California

Profile Details

NPI number 1992760417
LBN Legal business name Emmanuel Medical Providers
DBA Doing business as
Authorized official Lim, Dee Beng K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992760417 NPPES
California MEDICAID 00C399801

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