J.r. Johnson, M.d., Inc | |
901 Calle Amanecer Ste 100 San Clemente CA 92673 | |
(949) 218-1470 | |
(949) 218-1471 |
Full Name | J.r. Johnson, M.d., Inc |
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Speciality | Clinic/Center |
Location | 901 Calle Amanecer, San Clemente, California |
Authorized Official Name and Position | James Robert Johnson (PRESIDENT) |
Authorized Official Contact | 9492181470 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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J.r. Johnson, M.d., Inc 901 Calle Amanecer Ste 100 San Clemente CA 92673 Ph: (949) 218-1470 | J.r. Johnson, M.d., Inc 901 Calle Amanecer Ste 100 San Clemente CA 92673 Ph: (949) 218-1470 |
NPI Number | 1184836066 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4385817360 |
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Medicare Enrollment ID | O20111108000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184836066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | G69427 (California) | Primary |
Provider Name | James Robert Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093864423 PECOS PAC ID: 5294908273 Enrollment ID: I20111108000504 |
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