Samantha Johnson O.d., Pc | |
4545 E 3rd St Ste 105 Los Angeles CA 90022-1656 | |
(323) 261-3098 | |
Not Available |
Full Name | Samantha Johnson O.d., Pc |
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Speciality | Clinic/Center |
Location | 4545 E 3rd St Ste 105, Los Angeles, California |
Authorized Official Name and Position | Samantha Johnson (PRESIDENT) |
Authorized Official Contact | 6198202756 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Samantha Johnson O.d., Pc 4545 E 3rd St Ste 105 Los Angeles CA 90022-1656 Ph: (619) 820-2756 | Samantha Johnson O.d., Pc 4545 E 3rd St Ste 105 Los Angeles CA 90022-1656 Ph: (323) 261-3098 |
NPI Number | 1760101588 |
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Provider Enumeration Date | 08/24/2022 |
Last Update Date | 08/24/2022 |
Medicare PECOS PAC ID | 4981089398 |
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Medicare Enrollment ID | O20220921003199 |
Identifier | Type | State | Issuer |
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1760101588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Samantha M Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144774928 PECOS PAC ID: 7618263047 Enrollment ID: I20160909002002 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
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