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1750741484 NPI number — GRETA FRANCINE JOHNSON M.D.

NPI Number: 1750741484
Health Care Provider/Practitioner: GRETA FRANCINE JOHNSON M.D.

Information about “1750741484” NPI (GRETA FRANCINE JOHNSON M.D.) exists in 1750741484 in HTML format HTML  |  1750741484 in plain Text format TXT  |  1750741484 in PDF (Portable Document Format) PDF  |  1750741484 in an XML format XML  formats.

NPI Number : 1750741484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750741484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "GRETA",
    "MiddleName": "FRANCINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MANDELL",
    "OtherFirstName": "GRETA",
    "OtherMiddleName": "JOHNSON",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2591 FAIROAKS, #203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALTADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-818-5741",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "800 S. BARRANCA",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COVINA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-858-3154",
    "PracticeLocationAddressFaxNumber": "626-858-8474",
    "EnumerationDate": "02/23/2016",
    "LastUpdateDate": "02/23/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "G44755",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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