Johnson, Richard A

Johnson, Richard A is an individual health care provider with primary practice located at 15200 W Sunset Blvd Ste 107 , Pacific Palisades CA 90272-3620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Richard A can be contacted via phone (310) 459-7736.

Contact Information

Primary practice address
15200 W Sunset Blvd Ste 107 Pacific Palisades CA 90272-3620
Phone: (310) 459-7736
Fax: (310) 230-0284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G37531 California

Profile Details

NPI number 1770596009
LBN Legal business name Johnson, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Dec 12th, 2012 - about 12 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 1770596009 NPPES
California MEDICAID 00G375310

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