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Contact Information

JOHNSON B LIGHTFOOTE, MD
1798 N GAREY AVE
POMONA, CA91767
 Phone: 909-865-9535
 Fax: 909-630-7394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for JOHNSON B LIGHTFOOTE · (Male)

NPI # 1083696637
Status Active
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 06/11/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G39456
  • AL Other AL 8043 STATE MEDICAL LICENSE
  • CA Other G39456 STATE MEDICAL LICENSE
  • FL Other ME 90724 STATE MEDICAL LICENSE
  • NC Other 200500078 STATE MEDICAL LICENSE
Hospital affiliation(s)
  • CITRUS VALLEY MEDICAL CENTER-IC CAMPUS - (Acute Care)
    210 W SAN BERNARDINO ROAD
    COVINA, CA 91723
  • POMONA VALLEY HOSPITAL MEDICAL CENTER - (Acute Care)
    1798 N GAREY AVE
    POMONA, CA 91767
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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