Healthcare Provider Details

I. General information

NPI: 1982517751
Provider Name (Legal Business Name): MERIDIAN MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 SPRINGDALE WAY
EMERALD HILLS CA
94062-3909
US

IV. Provider business mailing address

156 SPRINGDALE WAY
EMERALD HILLS CA
94062-3909
US

V. Phone/Fax

Practice location:
  • Phone: 650-674-4965
  • Fax: 844-522-6060
Mailing address:
  • Phone: 650-674-4965
  • Fax: 844-522-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JORDAN EMONT
Title or Position: OWNER
Credential: MD MPH
Phone: 323-828-5368