| Dr Randall Lee Johnson, MD | |
|
19225 Woodlands Dr, Huntington Beach, CA 92648-5558 | |
| (562) 221-0224 | |
| Not Available |
| Full Name | Dr Randall Lee Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 19225 Woodlands Dr, Huntington Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841245057 | NPI | - | NPPES |
| 930092507 | Other | CA | LA COMMUNITY RAILROAD |
| 00G346570 | Other | CA | BLUE SHIELD |
| 00G346570 | Other | CA | CALOPTIMA |
| 00G346570 | Medicaid | CA | |
| 050663CA46019 | Other | CA | LA COMMUNITY TRAILBLAZER |
| G34657 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G34657 (California) | Primary |
| Entity Name | East Valley Emergency Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287430 PECOS PAC ID: 3870579691 Enrollment ID: O20050506000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Lee Johnson, MD 19225 Woodlands Dr Ste 209, Huntington Beach, CA 92648-5558 Ph: (562) 221-0224 | Dr Randall Lee Johnson, MD 19225 Woodlands Dr, Huntington Beach, CA 92648-5558 Ph: (562) 221-0224 |
Kelly Flannigan Unger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-843-5011 | |
Mr. Stanley Wayne Combs, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 16761 Edgewater Lane, Huntington Beach, CA 92649 Phone: 714-846-9400 | |
Charles B Obrien, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21391 Pinetree Ln, Huntington Beach, CA 92646 Phone: 714-335-9024 | |
Dr. Patrick D Cichon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8252 Lambert Dr, Huntington Beach, CA 92647 Phone: 323-363-3442 | |
Vince Truong, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 7834 Glencoe Ave, Huntington Beach, CA 92647 Phone: 586-212-3164 Fax: 310-379-4856 | |
Jessica Rendin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-843-5011 | |
Khanh Tran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-842-1473 |