Johnson, Karen Sue
Johnson, Karen Sue is an individual health care provider with primary practice located at 3828 Delmas Ter , Culver City CA 90232-2713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Johnson, Karen Sue can be contacted via phone (310) 836-7000.Contact Information
Primary practice address
3828 Delmas Ter
Culver City CA 90232-2713
Phone: (310) 836-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G69140 | California |
Profile Details
| NPI number | 1154436202 |
|---|---|
| LBN Legal business name | Johnson, Karen Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Dec 2nd, 2021 - about 3 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 | 1154436202 | NPPES |
| California | MEDICAID | 00G691400 |
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