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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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