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NPI Code Detail

MEDICARE: LUCIEN L JOHNSON M D INC

MEDICARE: LUCIEN L JOHNSON M D INC
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
1207RC0000XCardiovascular Disease PhysicianCA

Other Identifiers

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

General Provider Information

NPI Number : 1285735837
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUCIEN L JOHNSON M D INC
Provider Business Mailing Address
First Line : 3756 SANTA ROSALIA DR
Second Line : SUITE 422
City : LOS ANGELES
State : CA
Zip : 90008-3606
Country : US
Telephone Number : 323-292-0211
Fax Number :
Provider Business Practice Location Address
First Line : 3756 SANTA ROSALIA DR
Second Line : SUITE 422
City : LOS ANGELES
State : CA
Zip : 90008-3606
Country : US
Telephone Number : 323-292-0211
Fax Number :
Authorized Official
Title or Position : BILLER
Name : MS. HAZARA GRIER
Credential :
Telephone Number : 310-330-0074
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/20/2011

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Directions to “LUCIEN L JOHNSON M D INC ” Practice Location

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