| Emanate Health Medical Center | |
|
210 W San Bernardino Rd Covina CA 91723-1515 | |
| (626) 331-7331 | |
| Not Available |
| Full Name | Emanate Health Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 210 W San Bernardino Rd, Covina, California |
| Authorized Official Name and Position | Roger Sharma (EXECUTIVE VP/CFO) |
| Authorized Official Contact | 6269387595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emanate Health Medical Center Po Box 840145 Los Angeles CA 90084-0145 Ph: (626) 331-7331 | Emanate Health Medical Center 210 W San Bernardino Rd Covina CA 91723-1515 Ph: (626) 331-7331 |
| NPI Number | 1215063151 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215063151 | NPI | - | NPPES |
| ZZZC1911Z | Other | CA | BLUE SHIELD |
| 002 | Other | CA | BLUE CROSS |
| HSM30382G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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