| Dr. Ben Littlejohn Inc. | |
|
5915 Hollis St Ste B Emeryville CA 94608-2066 | |
| (510) 529-3800 | |
| (510) 529-3803 |
| Full Name | Dr. Ben Littlejohn Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5915 Hollis St Ste B, Emeryville, California |
| Authorized Official Name and Position | Ben Lawrence Littlejohn (CEO) |
| Authorized Official Contact | 5105293802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ben Littlejohn Inc. 5915 Hollis St Ste B Emeryville CA 94608-2066 Ph: (510) 529-3800 | Dr. Ben Littlejohn Inc. 5915 Hollis St Ste B Emeryville CA 94608-2066 Ph: (510) 529-3800 |
| NPI Number | 1043615628 |
|---|---|
| Provider Enumeration Date | 10/25/2014 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 5698087120 |
|---|---|
| Medicare Enrollment ID | O20150710002581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043615628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A87510 (California) | Primary |
| Provider Name | Ben L D Littlejohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467469924 PECOS PAC ID: 5698867166 Enrollment ID: I20070828001124 |
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