Russell Andrew Johnson, MD | |
100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | |
(310) 206-8000 | |
(310) 206-8005 |
Full Name | Russell Andrew Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 100 Ucla Medical Plaza Suite 490, Los Angeles, 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 |
---|---|---|---|
1497198402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A149593 (California) | Secondary |
208000000X | Pediatrics | A149593 (California) | Secondary |
207P00000X | Emergency Medicine | A149593 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 1355248584 | 1170 |
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
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Russell Andrew Johnson, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Russell Andrew Johnson, MD 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 Ph: (310) 206-8000 |
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 |