Gary R Johnson Md, Inc

LBN: Gary R Johnson Md, Inc
Gary R Johnson Md, Inc is an health care organization with primary practice located at 588 W St Charles , San Andreas CA 95249. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Gary R Johnson Md, Inc can be contacted via phone (209) 754-1851, or through Johnson, Gary Ronald via phone (209) 754-1851.

Contact Information

Primary practice address
588 W St Charles San Andreas CA 95249
Phone: (209) 754-1851
Fax: (209) 754-0231
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Gary Ronald Doctor of Medicine (MD)
Phone: (209) 754-1851

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X G27755 California

Profile Details

NPI number 1073695557
LBN Legal business name Gary R Johnson Md, Inc
DBA Doing business as
Authorized official Johnson, Gary Ronald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073695557 NPPES
California MEDICAID 00G277550
California Other 1114013513

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