Healthcare Provider Details

I. General information

NPI: 1548189392
Provider Name (Legal Business Name): SUMMIT HEALTH CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 W BURBANK BLVD
BURBANK CA
91505-2368
US

IV. Provider business mailing address

2521 W BURBANK BLVD
BURBANK CA
91505-2368
US

V. Phone/Fax

Practice location:
  • Phone: 747-285-5551
  • Fax: 747-285-5553
Mailing address:
  • Phone: 747-285-5551
  • Fax: 747-285-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: EMILY FARIAS
Title or Position: PRESIDENT
Credential: MD
Phone: 747-285-5551