Johnson, Eric
Johnson, Eric is an sole proprietor health care provider with primary practice located at 10833 Le Conte Ave 76-143 Chs Mail Code 690218, Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Johnson, Eric can be contacted via phone (310) 206-1169.Contact Information
Primary practice address
10833 Le Conte Ave 76-143 Chs Mail Code 690218
Los Angeles CA 90095-3075
Phone: (310) 206-1169
Fax: (310) 825-1311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | G38631 | California |
Profile Details
| NPI number | 1225135999 |
|---|---|
| LBN Legal business name | Johnson, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | May 12th, 2023 - about 3 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 | 1225135999 | NPPES |
| California | MEDICAID | 00G386310 | |
| California | Other | 953986377 |
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