Organization
LUCIEN L JOHNSON M D INC
Active
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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