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EMMANUEL MEDICAL PROVIDERS
NPI 1992760417
Family Medicine in Montclair, CA

Active since April 18, 2006
9675 MONTE VISTA AVE, STE B, MONTCLAIR, CA 91763(909) 447-5554(909) 447-5582 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emmanuel Medical Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL MEDICAL PROVIDERS (NPI 1992760417) is a healthcare organization registered as a family medicine in Montclair, California and active in the NPI registry since April 2006. The organization lists Dee Beng K Lim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992760417
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEMMANUEL MEDICAL PROVIDERS
Location Address9675 MONTE VISTA AVE, STE BMontclair, CA 91763-2213
Mailing Address9675 Monte Vista Ave, Ste BMontclair, CA 91763-2213 · (909) 447-5554 · Fax (909) 447-5582
Phone(909) 447-5554
Fax(909) 447-5582
Organization SubpartNo
Authorized OfficialDee Beng K LimCeo · (909) 447-5554
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992760417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C39980
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 is not limited by age, sex, organ system, or disease entity.
9675 MONTE VISTA AVE, Montclair, CA 91763
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Other Identifiers 1

Medicaid00C399801CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYS KANDELA
Pharmacist
9675 MONTE VISTA AVE
MONTCLAIR, CA 91763
San Bernardino County (909) 542-9365
DR. DEE BENG KO LIM M.D.
Family Medicine
9675 MONTE VISTA AVE, SUITE B
MONTCLAIR, CA 91763
San Bernardino County (909) 447-5554
SHERY SHENOUDA
Pharmacist
9675 MONTE VISTA AVE
MONTCLAIR, CA 91763
San Bernardino County (909) 542-9424
O.J KWON DENTAL CORPORATION
Dentist
9675 MONTE VISTA AVE, SUITE G
MONTCLAIR, CA 91763
San Bernardino County (909) 576-7175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Medical Providers's NPI number?

The NPI number for Emmanuel Medical Providers is 1992760417. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Emmanuel Medical Providers located?

Emmanuel Medical Providers is located at 9675 Monte Vista Ave Ste B, Montclair, CA 91763. The listed phone number is (909) 447-5554.

What is Emmanuel Medical Providers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Emmanuel Medical Providers was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.