Johnson, Meade Beasley

Johnson, Meade Beasley is an individual health care provider with primary practice located at 1520 San Pablo St Ste. 1600, Los Angeles CA 90033-5310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as her primary health care specialty. Johnson, Meade Beasley can be contacted via phone (323) 442-7450.

Contact Information

Primary practice address
1520 San Pablo St Ste. 1600 Los Angeles CA 90033-5310
Phone: (323) 442-7450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G45908 California

Profile Details

NPI number 1255375705
LBN Legal business name Johnson, Meade Beasley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 30th, 2007 - about 17 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 1255375705 NPPES
California MEDICAID 00G459080
California Other 300031908
California Other 00G459080
California Other 00G459080G56

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