Foothills Neurological Medical Gp

LBN: Foothills Neurological Medical Gp
Foothills Neurological Medical Gp is an health care organization with primary practice located at 1330 W Covina Blvd #103, San Dimas CA 91773-3200. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Foothills Neurological Medical Gp can be contacted via phone (909) 592-2145, or through Young, Gail E via phone (909) 592-2145.

Contact Information

Primary practice address
1330 W Covina Blvd #103 San Dimas CA 91773-3200
Phone: (909) 592-2145
Fax: (909) 599-6217
Website:
Map and Directions
Authorized official contact:
Name: Young, Gail E ADMINISTRATOR
Phone: (909) 592-2145

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A33406 California
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X A43523 California

Profile Details

NPI number 1154317584
LBN Legal business name Foothills Neurological Medical Gp
DBA Doing business as
Authorized official Young, Gail E ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2005
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 1154317584 NPPES
California MEDICAID 00A334060
California MEDICAID 00A435230

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