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Organization

LUCIEN L JOHNSON M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HAZARA GRIER (BILLER)
(310) 330-0074
Entity
Organization

Contact information

Practice address
3756 SANTA ROSALIA DR, SUITE 422, LOS ANGELES, CA 90008-3606
(323) 292-0211
Mailing address
3756 SANTA ROSALIA DR, SUITE 422, LOS ANGELES, CA 90008-3606
(323) 292-0211

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G1627200
CA
Enumeration date
09/26/2006
Last updated
07/20/2011
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