Johnson, Diane L.
Johnson, Diane L. is an sole proprietor health care provider with primary practice located at 65 Pine Ave #19, Long Beach CA 90802-4718. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Diane L. can be contacted via phone (714) 402-4685.Contact Information
Primary practice address
65 Pine Ave #19
Long Beach CA 90802-4718
Phone: (714) 402-4685
Fax: (562) 856-0389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G62317 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G62317 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G62317 | California |
Profile Details
| NPI number | 1013962273 |
|---|---|
| LBN Legal business name | Johnson, Diane L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | May 7th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013962273 | NPPES |
| California | Other | 810000525 | GOOD SAM RAILROAD |
| California | Other | 00G623170 | GOOD SAM RAILROAD |
| California | Other | G62317 | GOOD SAM RAILROAD |
| California | Other | 00G623170 | GOOD SAM RAILROAD |
| California | MEDICAID | 00G623170 | GOOD SAM RAILROAD |
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