Johnson Benjamin Lightfoote in West Covina - Diagnostic Radiology

Johnson Benjamin Lightfoote - NPI 1083696637

Johnson Benjamin Lightfoote is a Diagnostic Radiology in West Covina, California. Johnson Benjamin Lightfoote practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Johnson Benjamin Lightfoote is 1083696637. The last update date is 2011-06-11.

Johnson Benjamin Lightfoote's current location address is 808 S Easthills Dr, West Covina, California. You can contact this provider via phone number 9098659535 and fax number 9096307394. The mailing address for Johnson Benjamin Lightfoote is 808 S Easthills Dr, West Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnson Benjamin Lightfoote
Address 808 S Easthills Dr, West Covina, California
Phone Number 9098659535
Fax Number 9096307394
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1083696637
Provider Enumeration Date 2005-11-18
Last Updated Date 2011-06-11

Provider Mailing Address Detail

Address 808 S Easthills Dr
City West Covina
State California (CA)
Post Code 917913449
Phone Number 9098659535
Fax Number 9096307394

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G39456
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME 90724 FL STATE MEDICAL LICENSE
200500078 NC STATE MEDICAL LICENSE
G39456 CA STATE MEDICAL LICENSE
AL 8043 AL STATE MEDICAL LICENSE

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FAQs about Johnson Benjamin Lightfoote

What is the unique 10-digit identifier code assigned to Johnson Benjamin Lightfoote by the Centers for Medicare & Medicaid Services?

The Johnson Benjamin Lightfoote has been issued the NPI (National Provider Identifier) 1083696637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Johnson Benjamin Lightfoote is physically located?

The Johnson Benjamin Lightfoote is situated at the following address: 808 S Easthills Dr, West Covina, CA 917913449.

What is the Johnson Benjamin Lightfoote's specialty and taxonomy code?

The Johnson Benjamin Lightfoote's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

When did the Johnson Benjamin Lightfoote receive its 1083696637?

The Johnson Benjamin Lightfoote was issued its 1083696637 on 2005-11-18, which is the date when the organization was assigned this unique identifier.

When was the information regarding Johnson Benjamin Lightfoote, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Johnson Benjamin Lightfoote, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-11.

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