Individual
JOHANNES CZERNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-6800
Mailing address
5767 W. CENTURY BLVD, LOS ANGELES, CA 90045-5655
(310) 301-6800
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A56351
CA
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
A56351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A563510
—
CA
Enumeration date
06/17/2006
Last updated
02/05/2013
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