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:
Map and Directions
Authorized official contact:
Name: Johsen, Karl Knudsen Doctor of Medicine (MD)
Phone: (831) 425-1279

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
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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