Organization
COCHRANE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOY EMMANUEL-COCHRANE D.O. (PRESIDENT)
(619) 575-8887
Entity
Organization
Contact information
Practice address
667 PALM AVE, IMPERIAL BEACH, CA 91932-1243
(619) 575-8887
(619) 575-1374
Mailing address
667 PALM AVE, IMPERIAL BEACH, CA 91932-1243
(619) 575-8887
(619) 575-1374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6250
CA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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