Richard G Johnson Md Inc
LBN: Richard G Johnson Md Inc
Richard G Johnson Md Inc is an health care organization with primary practice located at 415 W Carroll Ave Ste 100, Glendora CA 91741-4208. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Richard G Johnson Md Inc can be contacted via phone (626) 914-5219, or through Johnson, Richard Greene via phone (626) 914-5219.
Contact Information
Primary practice address
415 W Carroll Ave Ste 100
Glendora CA 91741-4208
Phone: (626) 914-5219
Fax: (626) 914-7846
Website:
Authorized official contact:
Name: Johnson, Richard Greene Doctor of Medicine (MD)
Phone: (626) 914-5219
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G45973 | California |
Profile Details
| NPI number | 1689694523 |
|---|---|
| LBN Legal business name | Richard G Johnson Md Inc |
| DBA Doing business as | Richard G Johnson Md Inc |
| Authorized official | Johnson, Richard Greene Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 10th, 2009 - about 15 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 | 1689694523 | NPPES |
| California | Other | WA46488F | INDIVIDUAL MEDICARE ID |
| California | MEDICAID | 00A616960 | INDIVIDUAL MEDICARE ID |
| California | Other | 110086507 | INDIVIDUAL MEDICARE ID |
| California | MEDICAID | 00G459730 | INDIVIDUAL MEDICARE ID |
| California | Other | WA61696A | INDIVIDUAL MEDICARE ID |
| California | Other | WA46604A | INDIVIDUAL MEDICARE ID |
| California | Other | WG45973E | INDIVIDUAL MEDICARE ID |
| California | MEDICAID | 00A464880 | INDIVIDUAL MEDICARE ID |
| California | MEDICAID | 00A466040 | INDIVIDUAL MEDICARE ID |
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