Organization
CHERLIN JOHNSON MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL F JACOBSEN (PRESIDENT)
(310) 657-0366
Entity
Organization
Contact information
Practice address
8530 WILSHIRE BLVD, SUITE 250, BEVERLY HILLS, CA 90211-3102
(310) 657-0366
(310) 657-0466
Mailing address
8530 WILSHIRE BLVD, SUITE 250, BEVERLY HILLS, CA 90211-3102
(310) 657-0366
(310) 657-0466
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A85541
CA
Other
Enumeration date
09/15/2006
Last updated
09/20/2007
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