Emanate Health Medical Group

NPI #1881054997 in Covina, California

Provider Information

NPI Number: 1881054997
Entity Type: Organization
Organization Name: Emanate Health Medical Group
Primary Specialty: General Practice
Enumeration Date: Mar 2, 2016
Last Updated: Jul 11, 2019

Practice Location

Address: 210 W SAN BERNARDINO RD
City: Covina
State: California
ZIP Code: 91723-1515
Phone: (626) 858-8580

Authorized Official

Name: JACQUELINE BRACY, MD
Title: PRESIDENT
Phone: (626) 858-8580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
General Practice	208D00000X	Primary

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