Eagle Medical Management, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EAGLE MEDICAL MANAGEMENT, LLC

Practice address

1900 Royalty Dr Ste 140
Pomona, CA 91767-3044

Phone

(909) 350-7208

Fax

(951) 215-2620

NPI assigned

Mar 14, 2013

Last updated

Mar 14, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Kay

Title

Office MGR

Phone

(951) 532-4790

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1740521707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5490",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608016",
            "telephone_number": "909-350-7208",
            "fax_number": "951-215-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673044",
            "telephone_number": "909-350-7208",
            "fax_number": "951-215-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "951-532-4790"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc (Pomona Dialysis)
• Dwaraknath P. Reddy, M.D.
• Vanessa Dy
• Aleena Jayla Dycus
• Anastasia Demi Dzilno
• Terry L Eakin, PH D
• Bridget Mary Earl, MFT
• East Valley Community Health Center
• East Valley Community Health Center
• East Valley Community Health Center

• Specialist in Pomona, CA
• Providers in Pomona, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.