Organization
LUKE FAMILY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHAWN JOHNSON PHYSICIAN ASSISTANT (PRESIDENT/MANAGER)
(310) 748-3496
Entity
Organization
Contact information
Practice address
904 E PACIFIC COAST HWY, LONG BEACH, CA 90806-5626
(562) 591-2785
Mailing address
904 E PACIFIC COAST HWY, LONG BEACH, CA 90806-5626
(562) 591-2785
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/07/2012
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