Emmanuel Medical Group

LBN: Emanuel Medical Group, Inc.
Emmanuel Medical Group is an health care organization with primary practice located at 2121 Colorado Ave Suite C, Turlock CA 95382-2012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Emanuel Medical Group, Inc. can be contacted via phone (209) 664-5175, or through Johnson, Thomas Kirk via phone (209) 664-5150.

Contact Information

Primary practice address
2121 Colorado Ave Suite C Turlock CA 95382-2012
Fax: (209) 669-4684
Website:
Authorized official contact:
Name: Johnson, Thomas Kirk Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2854800000 California

Profile Details

NPI number 1275764615
LBN Legal business name Emanuel Medical Group, Inc.
DBA Doing business as Emmanuel Medical Group
Authorized official Johnson, Thomas Kirk Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2009
Last updated Oct 16th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275764615 NPPES
California MEDICAID 1275764615

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