Ebunoluwa Omotola Johnson, MD | |
14445 Olive View Drive, Sylmar, CA 91342 | |
(818) 364-3107 | |
Not Available |
Full Name | Ebunoluwa Omotola Johnson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 14445 Olive View Drive, Sylmar, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639332315 | NPI | - | NPPES |
A112523 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A112523 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Scripps Green Hospital | La jolla, CA | Hospital |
Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - California | 6103739131 | 974 |
Scripps Health | 9234033853 | 1365 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Scripps Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Entity Name | Encinitas Emergency Medicine, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598362568 PECOS PAC ID: 1951711357 Enrollment ID: O20201112002457 |
Mailing Address | Practice Location Address |
---|---|
Ebunoluwa Omotola Johnson, MD 11677 Goshen Ave, #312, Los Angeles, CA 90049-6291 Ph: (415) 577-8737 | Ebunoluwa Omotola Johnson, MD 14445 Olive View Drive, Sylmar, CA 91342 Ph: (818) 364-3107 |
Dr. Vena Ricketts, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 818-364-3107 | |
Dr. Fredrick Melik-abrahamian, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Drive, North Annex, Sylmar, CA 91342 Phone: 818-364-3107 | |
James Alan Moore, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive View Dr # 6b119-h, Sylmar, CA 91342 Phone: 818-364-3031 | |
Dr. Matthew Alan Waxman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, North Annex Department Of Emergency Medicine, Sylmar, CA 91342 Phone: 818-364-3107 | |
Richard Michael Treger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive View Dr, Department Of Medicine, 2b-182, Sylmar, CA 91342 Phone: 818-365-3205 | |
Dr. Luis Michael Lovato, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, Department Of Emergency Medicine, North Annex, Sylmar, CA 91342 Phone: 818-364-3107 | |
Dr. Shankar N Hittalmani, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14445 Oliveview Dr, Oliveview Ucla Medical Center, Sylmar, CA 91342 Phone: 818-364-3632 |