Healthcare Provider Details

I. General information

NPI: 1831500099
Provider Name (Legal Business Name): TOTAL CARE MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5361 E KINGS CANYON RD STE 101
FRESNO CA
93727-4908
US

IV. Provider business mailing address

5361 E KINGS CANYON RD STE 101
FRESNO CA
93727-4908
US

V. Phone/Fax

Practice location:
  • Phone: 559-251-2225
  • Fax: 559-251-9575
Mailing address:
  • Phone: 559-251-2225
  • Fax: 559-251-9575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN H EMERZIAN
Title or Position: OWNER
Credential: DC
Phone: 559-251-2225