Johnson, Brian Lee

Johnson, Brian Lee is an individual health care provider with primary practice located at 1783 El Camino Real , Burlingame CA 94010-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Brian Lee can be contacted via phone (650) 696-5515.

Contact Information

Primary practice address
1783 El Camino Real Burlingame CA 94010-3205
Phone: (650) 696-5515
Fax: (650) 696-5280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G35725 California

Profile Details

NPI number 1558317370
LBN Legal business name Johnson, Brian Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 21st, 2008 - about 18 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 1558317370 NPPES
California MEDICAID 00G357250
California Other 30090772

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