Cedar Medical Clinic
LBN: Karl Johsens Md & Drusilla Ldh Lee Md Inc
Cedar Medical Clinic is an health care organization with primary practice located at 1595 Soquel Dr Ste 340 , Santa Cruz CA 95065-1722. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Karl Johsens Md & Drusilla Ldh Lee Md Inc can be contacted via phone (831) 425-1279, or through Johsen, Karl Knudsen via phone (831) 425-1279.
Contact Information
Primary practice address
1595 Soquel Dr Ste 340
Santa Cruz CA 95065-1722
Phone: (831) 425-1279
Fax: (831) 425-3500
Website:
Authorized official contact:
Name: Johsen, Karl Knudsen Doctor of Medicine (MD)
Phone: (831) 425-1279
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G084030 | California |
Profile Details
NPI number | 1548278534 |
---|---|
LBN Legal business name | Karl Johsens Md & Drusilla Ldh Lee Md Inc |
DBA Doing business as | Cedar Medical Clinic |
Authorized official | Johsen, Karl Knudsen Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Jul 11th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548278534 | NPPES |
Other | 00G840300 | BLUE SHIELD | |
Other | CH1649 | BLUE SHIELD | |
Other | 110208332 | BLUE SHIELD | |
MEDICAID | 00G840300 | BLUE SHIELD | |
Other | ZZZ62382Z | BLUE SHIELD | |
Other | G054030 | BLUE SHIELD | |
Other | 610730500 | BLUE SHIELD | |
MEDICAID | GR0090740 | BLUE SHIELD |
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