person
Dr. Meade Beasley Johnson, MD
Body Imaging Physician in Los Angeles, California
NPI 1255375705

Meade Beasley Johnson is a Body Imaging Physician based in Los Angeles, CA and is specialized in Body Imaging. Meade Beasley Johnson practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Meade Beasley Johnson is 1255375705 and holds a License No. G45908 (California).

The current practice location address for Meade Beasley Johnson is 1520 San Pablo St, Los Angeles, CA and can be reached out via phone at 323-442-7450.

Location: 1520 San Pablo St, Los Angeles, CA, 90031-0399
person
Provider Profile Details
NPI Number
1255375705
Provider Name
Meade Beasley Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1520 San Pablo St, Los Angeles, CA, 90031-0399
Phone Number
323-442-7450
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G459080 05 CA
300031908 01 CA RAIL ROAD
00G459080 01 CA BLUE SHIELD
00G459080G56 01 CA CAL OPTIMA
institution
Provider Business Practice Location Address Details
Address
1520 San Pablo St
City
State
Zip
90033-5310
Phone Number
323-442-7450
Fax Number
person
Provider Business Mailing Address Details
Address
1520 San Pablo St
City
State
Zip
90033-5310
Phone Number
323-442-7450
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
G45908 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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