MEDICARE: FOOTHILL HEALTH PARTNERS

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1518897156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOTHILL HEALTH PARTNERS

Provider Business Mailing Address
First Line	:	8031 FOOTHILL BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2957
Country	:	US
Telephone Number	:	747-342-0022
Fax Number	:	747-342-0222

Provider Business Practice Location Address
First Line	:	8031 FOOTHILL BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2957
Country	:	US
Telephone Number	:	747-342-0022
Fax Number	:	747-342-0222

Authorized Official
Title or Position	:	CEO
Name	:	EDVARD DAVTYAN
Credential	:	MD
Telephone Number	:	747-342-0022

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “FOOTHILL HEALTH PARTNERS ” Practice Location

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