Individual
DR. SARA WHITACRE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
514 N PROSPECT AVE, REDONDO BEACH, CA 90277-3036
(310) 937-8555
(310) 937-8556
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9022551-1205
UT
207P00000X
Emergency Medicine Physician
9753A
WY
207P00000X
Emergency Medicine Physician
A117896
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A117896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639450638
—
UT
Enumeration date
09/02/2011
Last updated
07/23/2020
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