Dr Thomas Martin Johnson, MD | |
1225 W 190th St Ste 280, Gardena, CA 90248-4305 | |
(877) 515-8113 | |
(877) 538-2102 |
Full Name | Dr Thomas Martin Johnson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1225 W 190th St Ste 280, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639136534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | G081064 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
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Dr Thomas Martin Johnson, MD 2040 Vista De La Vina, Templeton, CA 93465-8348 Ph: (805) 975-3577 | Dr Thomas Martin Johnson, MD 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (877) 515-8113 |
Ronald G St. Hill, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Dr. Scott Bruce Gladstone, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 | |
Robert D Rosenberg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 | |
Judy Man, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 310-222-3159 | |
Dr. Robert Peterson, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247 Phone: 323-241-6730 | |
Dr. Khang Manh Nguyen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 310-217-7328 Fax: 310-352-3111 |