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Organization
PACIFIC PALISADES MEDICAL GROUP INC.
Active
Organization
PACIFIC PALISADES MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOHNSON M.D. (PRESIDENT)
(310) 459-7736
Entity
Organization
Contact information
Practice address
15200 W SUNSET BLVD, SUITE 107, PACIFIC PALISADES, CA 90272-3619
(310) 459-7736
(310) 230-0284
Mailing address
15200 W SUNSET BLVD, SUITE 107, PACIFIC PALISADES, CA 90272-3619
(310) 459-7736
(310) 230-0284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
05/14/2021
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