Foothill Community Medical Corporation in Pomona - Family Medicine

Foothill Community Medical Corporation - NPI 1104043835

Foothill Community Medical Corporation is a Family Medicine in Pomona, California. Foothill Community Medical Corporation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Foothill Community Medical Corporation is 1104043835. The last update date is 2020-08-22.

Foothill Community Medical Corporation's current location address is 1126 W Mission Blvd, Pomona, California. You can contact this provider via phone number 9098652538 and fax number 9098652508. The mailing address for Foothill Community Medical Corporation is 1126 W Mission Blvd, Pomona, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Foothill Community Medical Corporation
Address 1126 W Mission Blvd, Pomona, California
Phone Number 9098652538
Fax Number 9098652508
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Carcamo Rafael
Credentials M.D.
Telephone Number 9098652538

NPI Number Detail

NPI Number 1104043835
Provider Enumeration Date 2007-04-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1126 W Mission Blvd
City Pomona
State California (CA)
Post Code 917661342
Phone Number 9098652538
Fax Number 9098652508

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 00A666750
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0090561 CA --

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FAQs about Foothill Community Medical Corporation

What is the unique 10-digit identifier code issued to Foothill Community Medical Corporation by the Centers for Medicare & Medicaid Services?

The Foothill Community Medical Corporation has been assigned the NPI (National Provider Identifier) 1104043835 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Foothill Community Medical Corporation is physically located?

The Foothill Community Medical Corporation is situated at the following address: 1126 W Mission Blvd, Pomona, CA 917661342.

What is Foothill Community Medical Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Foothill Community Medical Corporation's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104043835 to Foothill Community Medical Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1104043835 to Foothill Community Medical Corporation on 2007-04-20.

As of what date was the information regarding Foothill Community Medical Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Foothill Community Medical Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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