Healthcare Provider Details
I. General information
NPI: 1518897156
Provider Name (Legal Business Name): FOOTHILL HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8031 FOOTHILL BLVD
SUNLAND CA
91040-2957
US
IV. Provider business mailing address
8031 FOOTHILL BLVD
SUNLAND CA
91040-2957
US
V. Phone/Fax
- Phone: 747-342-0022
- Fax: 747-342-0222
- Phone: 747-342-0022
- Fax: 747-342-0222
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDVARD
DAVTYAN
Title or Position: CEO
Credential: MD
Phone: 747-342-0022