Foothill Pediatric & Adolescent Clinic
NPI #1952499378 in San Dimas, California
Provider Information
- NPI Number
- 1952499378
- Entity Type
- Organization
- Organization Name
- Foothill Pediatric & Adolescent Clinic
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Oct 15, 2013
Practice Location
- Address
- 1330 W COVINA BLVD
- Address 2
- SUITE 106
- City
- San Dimas
- State
- California
- ZIP Code
- 91773
- Phone
- (909) 599-6876
Authorized Official
- Name
- DR. GEORGE M MADANAT, MD
- Title
- PRESIDENT
- Phone
- (909) 599-6876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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