=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982517751
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERIDIAN MEDICAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2026
-----------------------------------------------------
Last Update Date | 09/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 156 SPRINGDALE WAY
-----------------------------------------------------
City | EMERALD HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94062-3909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-674-4965
-----------------------------------------------------
Fax | 844-522-6060
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 156 SPRINGDALE WAY
-----------------------------------------------------
City | EMERALD HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94062-3909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-674-4965
-----------------------------------------------------
Fax | 844-522-6060
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JORDAN EMONT
-----------------------------------------------------
Credential | MD MPH
-----------------------------------------------------
Telephone | 323-828-5368
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------