| Karl Johsens Md & Drusilla Ldh Lee Md Inc | |
|
1595 Soquel Dr Ste 340 Santa Cruz CA 95065-1722 | |
| (831) 425-1279 | |
| (831) 425-3500 |
| Full Name | Karl Johsens Md & Drusilla Ldh Lee Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1595 Soquel Dr Ste 340, Santa Cruz, California |
| Authorized Official Name and Position | Karl Knudsen Johsen (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 8314251279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karl Johsens Md & Drusilla Ldh Lee Md Inc 1595 Soquel Dr Ste 340 Santa Cruz CA 95065-1722 Ph: (831) 425-1279 | Karl Johsens Md & Drusilla Ldh Lee Md Inc 1595 Soquel Dr Ste 340 Santa Cruz CA 95065-1722 Ph: (831) 425-1279 |
| NPI Number | 1548278534 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 07/11/2019 |
| Medicare PECOS PAC ID | 8729977301 |
|---|---|
| Medicare Enrollment ID | O20040311001438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548278534 | NPI | - | NPPES |
| 00G840300 | Other | BLUE SHIELD | |
| CH1649 | Other | GROUP MEDICARE RAILROAD | |
| 110208332 | Other | MEDICARE RAILROAD | |
| 00G840300 | Medicaid | CA | |
| ZZZ62382Z | Other | GROUP BLUE SHIELD CEDAR M | |
| G054030 | Other | CA | BLUE CROSS |
| 610730500 | Other | US DEPT OF LABOR OFFICE O | |
| GR0090740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G084030 (California) | Primary |
| Provider Name | Karl Knudsen Johsens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295948727 PECOS PAC ID: 0446149025 Enrollment ID: I20100806000529 |
Jeannine M. Rodems, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062 Phone: 831-708-1400 Fax: 831-708-1390 | |
Martha C. Payne Dmd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Frederick St, Santa Cruz, CA 95062 Phone: 831-457-0343 | |
Santa Cruz Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 17th Ave, Santa Cruz, CA 95062 Phone: 831-427-3500 Fax: 831-426-3286 | |
Optimage Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Mission St, Suite 5, Santa Cruz, CA 95060 Phone: 831-421-0197 Fax: 888-449-2472 | |
Santa Cruz Personal Physicians Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 634 Frederick St, Santa Cruz, CA 95062 Phone: 831-421-9535 Fax: 831-421-9290 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060 Phone: 831-426-5550 Fax: 831-425-0106 | |
County Of Santa Cruz Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115a Coral St, Santa Cruz, CA 95060 Phone: 831-454-2080 Fax: 831-454-3424 |