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Contact Information

PHIL JOHNSON GEN PTR
3540 RIVERSIDE PLAZA DR
SUITE 306
RIVERSIDE, CA92506-2709
 Phone: 951-682-1311
 Fax: 951-682-0111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PHIL JOHNSON GEN PTR

NPI # 1053321331
LBN Legal business name PHIL JOHNSON GEN PTR
Authorized official WILLIAM JOHNSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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