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NPI Code Detail

MEDICARE: MRS. SUMIT JOHL MD

MEDICARE: MRS. SUMIT JOHL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA45643CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A45643OTHERCACA

General Provider Information

NPI Number : 1245314624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUMIT JOHL MD
Provider Business Mailing Address
First Line : 1114 YUBA ST RM 144
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-4838
Country : US
Telephone Number : 530-749-3242
Fax Number : 530-749-3248
Provider Business Practice Location Address
First Line : 1275 THARP RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95993-2645
Country : US
Telephone Number : 530-749-3242
Fax Number : 530-749-3248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 11/21/2018

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Directions to “ MRS. SUMIT JOHL MD” Practice Location

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