George M Madanat M Inc

LBN: Foothill Pediatric & Adolescent Clinic
George M Madanat M Inc is an health care organization with primary practice located at 1330 W Covina Blvd Suite 106, San Dimas CA 91773. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Foothill Pediatric & Adolescent Clinic can be contacted via phone (909) 599-6876, or through Madanat, George M via phone (909) 599-6876.

Contact Information

Primary practice address
1330 W Covina Blvd Suite 106 San Dimas CA 91773
Phone: (909) 599-6876
Fax: (909) 592-9787
Website:
Map and Directions
Authorized official contact:
Name: Madanat, George M Doctor of Medicine (MD)
Phone: (909) 599-6876

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1952499378
LBN Legal business name Foothill Pediatric & Adolescent Clinic
DBA Doing business as George M Madanat M Inc
Authorized official Madanat, George M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 15th, 2013 - about 13 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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