Karen Sue Johnson, MD | |
3828 Delmas Ter, Culver City, CA 90232-2713 | |
(310) 836-7000 | |
Not Available |
Full Name | Karen Sue Johnson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 3828 Delmas Ter, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154436202 | NPI | - | NPPES |
00G691400 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G69140 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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 |
Mailing Address | Practice Location Address |
---|---|
Karen Sue Johnson, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Karen Sue Johnson, MD 3828 Delmas Ter, Culver City, CA 90232-2713 Ph: (310) 836-7000 |
Rabia Iqbal, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Sara E. Stagg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
John G. Lalli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
David B. Eisner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Sean Sayani, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4451 Sepulveda Blvd, Culver City, CA 90230 Phone: 424-353-0003 | |
Robert Rosenbloom, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-202-4745 Fax: 310-202-4745 |