Johnson, James Robert

Johnson, James Robert is an sole proprietor health care provider with primary practice located at 901 Calle Amanecer Ste 100, San Clemente CA 92673-6278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, James Robert can be contacted via phone (949) 218-1482.

Contact Information

Primary practice address
901 Calle Amanecer Ste 100 San Clemente CA 92673-6278
Phone: (949) 218-1482
Fax: (949) 218-1470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G69427 California

Profile Details

NPI number 1093864423
LBN Legal business name Johnson, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Dec 21st, 2015 - about 9 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 1093864423 NPPES
Other 080183937 RAILROAD MEDICARE
Other 5422000G694270 RAILROAD MEDICARE
Other 260042944926730000 RAILROAD MEDICARE
Other 260042944 RAILROAD MEDICARE

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