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Individual

DR. RANDALL LEE JOHNSON

Active
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Individual

DR. RANDALL LEE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G34657
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G346570
BLUE SHIELD
CA
05
—
00G346570
—
CA
01
—
050663CA46019
LA COMMUNITY TRAILBLAZER
CA
01
—
930092507
LA COMMUNITY RAILROAD
CA
01
—
G34657
BLUE CROSS
CA
Enumeration date
05/24/2006
Last updated
01/16/2026
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