BEVERLY A JOHNSON DDS MPH INC NPI 1962605915

NPI Information

NPI: 1962605915
Provider Name: BEVERLY A JOHNSON DDS MPH INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4151 DON LUIS DR
LOS ANGELES, CA
ZIP 90008
Phone: (310) 702-5475
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BEVERLY A JOHNSON DDS MPH INC is a dental clinic center in Los Angeles, CA. BEVERLY A JOHNSON DDS MPH INC NPI is 1962605915. The provider is registered as an organization entity type.

The provider's business location address is:

4151 DON LUIS DR
LOS ANGELES, CA
ZIP 90008-214
Phone: (310) 702-5475
Fax: (310) 702-5475

The provider's authorized official is Beverly Johnson .
The authorized official title is President and has the following contact phone number (310) 702-5475.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 6/3/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	28126	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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