| Foothill Middle School | |
|
151 N Fenimore Ave Azusa CA 91702-3921 | |
| (626) 815-5132 | |
| (626) 815-6679 |
| Full Name | Foothill Middle School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 151 N Fenimore Ave, Azusa, California |
| Authorized Official Name and Position | Anil Vadaparty (CEO) |
| Authorized Official Contact | 9095991227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Middle School 762 Cypress St San Dimas CA 91773-3505 Ph: (909) 599-1227 | Foothill Middle School 151 N Fenimore Ave Azusa CA 91702-3921 Ph: (626) 815-5132 |
| NPI Number | 1821509563 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821509563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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