Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foothills Neurological Medical Gp

Organization Neurology Physician · NPI 1154317584

Foothills Neurological Medical Gp provides Neurology Physician services in San Dimas, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1330 W Covina Blvd #103
San Dimas, CA 91773-3200
Phone: (909) 592-2145
Fax: (909) 599-6217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence A43523 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence A33406 (CA)

Record details

NPI number1154317584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gail Young — Administrator · (909) 592-2145
NPI enumeratedSeptember 21, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address1330 W Covina Blvd, 103, San Dimas, CA 91773-3200

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