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KARL JOHSENS MD & DRUSILLA LDH LEE MD INC NPI 1548278534


NPI Information

NPI: 1548278534
Provider Name: KARL JOHSENS MD & DRUSILLA LDH LEE MD INC

Doing Business As: CEDAR MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0716161

Address:
1595 SOQUEL DR STE 340
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 425-1279
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KARL JOHSENS MD & DRUSILLA LDH LEE MD INC is an internal medicine in Santa Cruz, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KARL JOHSENS MD & DRUSILLA LDH LEE MD INC NPI is 1548278534. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cedar Medical Clinic.

The provider's business location address is:

1595 SOQUEL DR STE 340
SANTA CRUZ, CA
ZIP 95065-722
Phone: (831) 425-1279
Fax: (831) 425-3500

The provider's authorized official is Karl Knudsen Johsen .
The authorized official title is Physician President and has the following contact phone number (831) 425-1279.

The CLIA number assigned to this NPI record is 05D0716161 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineG084030CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G840300MEDICAIDCALIFORNIA
200G840300OTHERBLUE SHIELD
3610730500OTHERUS DEPT OF LABOR OFFICE O
4CH1649OTHERGROUP MEDICARE RAILROAD
5GR0090740MEDICAIDCALIFORNIA
6110208332OTHERMEDICARE RAILROAD
7G054030OTHERCALIFORNIABLUE CROSS
8ZZZ62382ZOTHERGROUP BLUE SHIELD CEDAR M

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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