| Foothill Family Practice Medical Group Inc | |
|
440 W Foothill Blvd Glendora CA 91741-3361 | |
| (626) 963-9402 | |
| (626) 623-7244 |
| Full Name | Foothill Family Practice Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 440 W Foothill Blvd, Glendora, California |
| Authorized Official Name and Position | Frank J Glavan (CEO) |
| Authorized Official Contact | 6269639402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Family Practice Medical Group Inc 440 W Foothill Blvd Glendora CA 91741-3361 Ph: (626) 963-9402 | Foothill Family Practice Medical Group Inc 440 W Foothill Blvd Glendora CA 91741-3361 Ph: (626) 963-9402 |
| NPI Number | 1134201866 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134201866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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