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NPI Code Detail

MEDICARE: FOOTHILL FAMILY SERVICE

MEDICARE: FOOTHILL FAMILY SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1164558482
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOTHILL FAMILY SERVICE
Provider Business Mailing Address
First Line : 2500 E FOOTHILL BLVD STE 300
Second Line :
City : PASADENA
State : CA
Zip : 91107-7102
Country : US
Telephone Number : 626-993-3000
Fax Number : 626-993-3084
Provider Business Practice Location Address
First Line : 11429 VALLEY BLVD
Second Line :
City : EL MONTE
State : CA
Zip : 91731-3229
Country : US
Telephone Number : 626-993-3000
Fax Number : 626-442-8387
Authorized Official
Title or Position : IT DIRECTOR
Name : CHRISTOPHER SCOTT HOWARD
Credential :
Telephone Number : 626-993-3033
Provider Enumeration Date : 02/23/2007
Last Update Date : 06/13/2023

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Directions to “FOOTHILL FAMILY SERVICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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