| Dr. Ben Littlejohn Inc. | |
| 
					5915 Hollis St Ste B Emeryville CA 94608-2066  | |
| (510) 529-3800 | |
| (510) 529-3803 | 
| Full Name | Dr. Ben Littlejohn Inc. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 5915 Hollis St Ste B, Emeryville, California | 
| Authorized Official Name and Position | Ben Lawrence Littlejohn (CEO) | 
| Authorized Official Contact | 5105293802 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr. Ben Littlejohn Inc. 5915 Hollis St Ste B Emeryville CA 94608-2066 Ph: (510) 529-3800  | Dr. Ben Littlejohn Inc. 5915 Hollis St Ste B Emeryville CA 94608-2066 Ph: (510) 529-3800  | 
| NPI Number | 1043615628 | 
|---|---|
| Provider Enumeration Date | 10/25/2014 | 
| Last Update Date | 05/21/2015 | 
| Medicare PECOS PAC ID | 5698087120 | 
|---|---|
| Medicare Enrollment ID | O20150710002581 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043615628 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | A87510 (California) | Primary | 
| Provider Name | Ben L D Littlejohn | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1467469924 PECOS PAC ID: 5698867166 Enrollment ID: I20070828001124  | 
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