Foothill Community Medical Corp.

NPI #1881811404 in Azusa, California

Provider Information

NPI Number: 1881811404
Entity Type: Organization
Organization Name: Foothill Community Medical Corp.
Primary Specialty: Family Medicine
Enumeration Date: Apr 18, 2007
Last Updated: Jun 16, 2016

Practice Location

Address: 647 E ARROW HWY
City: Azusa
State: California
ZIP Code: 91702-5802
Phone: (626) 858-5199

Authorized Official

Name: DR. RAFAEL CARCAMO, M.D.
Title: PRESIDENT
Phone: (626) 858-5199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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