DIANE L. JOHNSON, M.D., INC.
Osteopathic Medicine at 3 St, Los Angeles, CA

License number
California G62317
Category
Osteopathic Medicine
Type
Critical Care Medicine
License number
California G62317
Category
Osteopathic Medicine
Type
Hospitalist
Owner
Name: DIANE L. JOHNSON M.D.
Title: PRESIDENT, MEDICAL DIRECTOR
Phone: (714) 402-4685
Address
Address 2
2131 W 3Rd St, Los Angeles, CA 90057
65 Pine Ave, Long Beach, CA 90802
National Provider ID: 1013163112
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIANE L. JOHNSON M.D., INC

65 Pne Ave #19, Long Beach, CA 90802

Status:
Inactive
Registration:
Sep 23, 2003
State ID:
C2553897
Business type:
Articles of Incorporation
President:
Diane L. Johnson President, inactive
Agent:
Spiegel & Utrera, P.a., Which Will Do Business In California As Spiegel & Utrera, Pc,Los Angeles, CA 90010 (Physical)

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