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NPI Code Detail

MEDICARE: ALBERT D JOHNSON MD

MEDICARE: ALBERT D JOHNSON 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
1207P00000XEmergency Medicine PhysicianG51169CA

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 : 1356304620
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT D JOHNSON MD
Provider Business Mailing Address
First Line : PO BOX 11179
Second Line :
City : WESTMINSTER
State : CA
Zip : 92685-1179
Country : US
Telephone Number : 888-517-2788
Fax Number : 562-468-0347
Provider Business Practice Location Address
First Line : 1415 ROSS AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-4306
Country : US
Telephone Number : 760-339-7254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 01/28/2009

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Directions to “ ALBERT D JOHNSON MD” Practice Location

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