Dr Randall Lee Johnson, MD | |
4081 East Olympic Boulevard, Los Angeles, CA 90023-3330 | |
(323) 881-2666 | |
(323) 267-4530 |
Full Name | Dr Randall Lee Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4081 East Olympic Boulevard, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841245057 | NPI | - | NPPES |
930092507 | Other | CA | LA COMMUNITY RAILROAD |
00G346570 | Other | CA | BLUE SHIELD |
00G346570 | Other | CA | CALOPTIMA |
00G346570 | Medicaid | CA | |
050663CA46019 | Other | CA | LA COMMUNITY TRAILBLAZER |
G34657 | Other | CA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G34657 (California) | Primary |
Entity Name | East Valley Emergency Medical Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346287430 PECOS PAC ID: 3870579691 Enrollment ID: O20050506000210 |
Mailing Address | Practice Location Address |
---|---|
Dr Randall Lee Johnson, MD 2550 North Hollywood Way, Suite 209, Burbank, CA 91505-5019 Ph: (818) 557-0135 | Dr Randall Lee Johnson, MD 4081 East Olympic Boulevard, Los Angeles, CA 90023-3330 Ph: (323) 881-2666 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |