Czernin, Johannes

Czernin, Johannes is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Czernin, Johannes can be contacted via phone (310) 301-6800.

Contact Information

Primary practice address
10833 Le Conte Ave Los Angeles CA 90095-3075
Phone: (310) 301-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X A56351 California
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X A56351 California

Profile Details

NPI number 1942245758
LBN Legal business name Czernin, Johannes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Feb 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942245758 NPPES
California MEDICAID 00A563510

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