Provider Demographics
NPI:1376626754
Name:EMONT, ERIC MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MICHAEL
Last Name:EMONT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10990 SAN DIEGO MISSION RD
Mailing Address - Street 2:CONTINUING CARE OFFICE 3RD FLOOR
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2417
Mailing Address - Country:US
Mailing Address - Phone:619-528-1245
Mailing Address - Fax:619-641-4099
Practice Address - Street 1:10990 SAN DIEGO MISSION RD
Practice Address - Street 2:CONTINUING CARE OFFICE 3RD FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2417
Practice Address - Country:US
Practice Address - Phone:619-528-1245
Practice Address - Fax:619-641-4099
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2021-11-01
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Provider Licenses
StateLicense IDTaxonomies
CAA41135207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF02664Medicare UPIN