Beverly A Johnson Dds Mph Inc in Los Angeles - Dental

Beverly A Johnson Dds Mph Inc - NPI 1962605915

Beverly A Johnson Dds Mph Inc is a Dental in Los Angeles, California. Beverly A Johnson Dds Mph Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Beverly A Johnson Dds Mph Inc is 1962605915. The last update date is 2011-06-03.

Beverly A Johnson Dds Mph Inc's current location address is 4151 Don Luis Dr, Los Angeles, California. You can contact this provider via phone number 3107025475. The mailing address for Beverly A Johnson Dds Mph Inc is 4151 Don Luis Dr, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Beverly A Johnson Dds Mph Inc
Address 4151 Don Luis Dr, Los Angeles, California
Phone Number 3107025475
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Johnson Beverly
Credentials DDS
Telephone Number 3107025475

NPI Number Detail

NPI Number 1962605915
Provider Enumeration Date 2007-06-07
Last Updated Date 2011-06-03

Provider Mailing Address Detail

Address 4151 Don Luis Dr
City Los Angeles
State California (CA)
Post Code 900084214
Phone Number 3107025475
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 28126
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Beverly A Johnson Dds Mph Inc

What is the unique identification code assigned to Beverly A Johnson Dds Mph Inc by the Centers for Medicare & Medicaid Services?

The Beverly A Johnson Dds Mph Inc has been issued the NPI (National Provider Identifier) 1962605915. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Beverly A Johnson Dds Mph Inc's facilities are situated?

The facilities of Beverly A Johnson Dds Mph Inc are physically located at the following address: 4151 Don Luis Dr, Los Angeles, CA, 900084214.

What is Beverly A Johnson Dds Mph Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Beverly A Johnson Dds Mph Inc is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.

When was the Beverly A Johnson Dds Mph Inc's 1962605915 issued?

The Beverly A Johnson Dds Mph Inc's 1962605915 was issued on 2007-06-07.

As of what date was the information regarding Beverly A Johnson Dds Mph Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Beverly A Johnson Dds Mph Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-03.

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