Provider Demographics
NPI:1831500099
Name:TOTAL CARE MEDICAL GROUP
Entity Type:Organization
Organization Name:TOTAL CARE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:EMERZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-251-2225
Mailing Address - Street 1:5361 E KINGS CANYON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-4908
Mailing Address - Country:US
Mailing Address - Phone:559-251-2225
Mailing Address - Fax:559-251-9575
Practice Address - Street 1:5361 E KINGS CANYON RD STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-4908
Practice Address - Country:US
Practice Address - Phone:559-251-2225
Practice Address - Fax:559-251-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty