Whitney Danielle Johnson (NPI# 1700306511, PAC ID# 4082966882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1700306511 |
PAC ID by PECOS | 4082966882 |
Professional Enrollment ID | I20181005000654 |
Full Name | Whitney Danielle Johnson |
Organization Legal Name | EL DORADO COMMUNITY SERVICE CENTER |
Address |
4450 W Century Blvd Inglewood CA 90304-1504 |
Phone Number | 3106710555 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 4183672645 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4450 W Century Blvd, Inglewood, CA 90304-1504 | 3106710555 | EL DORADO COMMUNITY SERVICE CENTER |
Organization Legal Name | EL DORADO COMMUNITY SERVICE CENTER |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Clymie D Allen | Clinical Social Worker | El Dorado Community Service Center | 4450 W Century Blvd, Inglewood, CA 90304-1504 |
H Kenneth Fisher | Internal Medicine | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
Vijaya K Katukota | Internal Medicine | El Dorado Community Service Center | 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1127 |
Rose Sandoval | Nurse Practitioner | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
Luzviminda Jarcia Nobleza | Psychiatry | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
Lien Ngoc Trinh | Clinical Social Worker | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
Street Address |
4450 W CENTURY BLVD |
City | INGLEWOOD |
State | CA |
Zip | 90304-1504 |
Name | Specialty | Organization | Address |
---|---|---|---|
Clymie D Allen | Clinical Social Worker | El Dorado Community Service Center | 4450 W Century Blvd, Inglewood, CA 90304-1504 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas J Gerke | General Practice | 10811 S Grevillea Ave, Lennox, CA 90304-2325 | |
Jabir Rahman Sharif | Internal Medicine | Jabir Rahman Sharif Md Inc | 11300 Hawthorne Blvd, Inglewood, CA 90304-2715 |
City | INGLEWOOD |
Zip Code | 90304 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | INGLEWOOD + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.