| NPI | 1275764615 |
|---|---|
| Other Name | EMMANUEL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | THOMAS KIRK JOHNSON President/CEO 209-664-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 2854800000) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2013-10-16 |