Johnson, Thomas L
Johnson, Thomas L is an sole proprietor health care provider with primary practice located at 9100 S Sepulveda Blvd Ste 121 , Los Angeles CA 90045-4849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Johnson, Thomas L can be contacted via phone (310) 674-6785.Contact Information
Primary practice address
9100 S Sepulveda Blvd Ste 121
Los Angeles CA 90045-4849
Phone: (310) 674-6785
Fax: (310) 674-2161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C41044 | California |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1881765584 |
|---|---|
| LBN Legal business name | Johnson, Thomas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Oct 3rd, 2019 - about 5 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 | 1881765584 | NPPES |
| California | MEDICAID | 00C410441 |
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