Johnson, Sara Whitacre

Johnson, Sara Whitacre is an sole proprietor health care provider with primary practice located at 514 N Prospect Ave , Redondo Beach CA 90277-3036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Johnson, Sara Whitacre can be contacted via phone (310) 937-8555.

Contact Information

Primary practice address
514 N Prospect Ave Redondo Beach CA 90277-3036
Phone: (310) 937-8555
Fax: (310) 937-8556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A117896 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9753A Wyoming
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9022551-1205 Utah
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A117896 California

Profile Details

NPI number 1639450638
LBN Legal business name Johnson, Sara Whitacre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Jul 23rd, 2020 - about 6 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 1639450638 NPPES
Utah MEDICAID 1639450638

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