Manteca Emergency Physicians, a Medical Corporation

NPI #1619048378 in Manteca, California

Provider Information

NPI Number: 1619048378
Entity Type: Organization
Organization Name: Manteca Emergency Physicians, a Medical Corporation
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 13, 2006
Last Updated: May 14, 2021

Practice Location

Address: 1205 E NORTH ST
City: Manteca
State: California
ZIP Code: 95336-4932
Phone: (469) 401-2386

Authorized Official

Name: KATHY KONDAS
Title: OFFICER
Phone: (973) 251-1132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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