Dr Johnnie M Woodson Jr, MD | |
9190 Haven Ave Ste 210, Rancho Cucamonga, CA 91730-5431 | |
(909) 466-7779 | |
(909) 466-9680 |
Full Name | Dr Johnnie M Woodson Jr |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 34 Years |
Location | 9190 Haven Ave Ste 210, Rancho Cucamonga, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780727750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A51198 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chaparral Medical Group Inc | 6800709403 | 56 |
Entity Name | Chaparral Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477733624 PECOS PAC ID: 6800709403 Enrollment ID: O20031110000605 |
Entity Name | Chaparral Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093777666 PECOS PAC ID: 6800709403 Enrollment ID: O20040331001684 |
Mailing Address | Practice Location Address |
---|---|
Dr Johnnie M Woodson Jr, MD 840 Towne Center Dr, Pomona, CA 91767-5900 Ph: (909) 398-1550 | Dr Johnnie M Woodson Jr, MD 9190 Haven Ave Ste 210, Rancho Cucamonga, CA 91730-5431 Ph: (909) 466-7779 |
Dr. Ishrat Husain, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7365 Carnelian St, Ste #137, Rancho Cucamonga, CA 91730 Phone: 909-948-8888 Fax: 909-948-8839 | |
David Opai-tetteh, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8200 Haven Avenue, Ste101, Rancho Cucamonga, CA 91730 Phone: 909-649-8031 Fax: 909-989-6895 | |
Dr. Lee S Austin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7365 Carnelian St, Ste 137, Rancho Cucamonga, CA 91730 Phone: 909-948-8888 Fax: 909-948-8839 |