Tina M Johnson (NPI# 1073958070, PAC ID# 6800102039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073958070 |
| PAC ID by PECOS | 6800102039 |
| Professional Enrollment ID | I20150902000457 |
| Full Name | Tina M Johnson |
| Organization Legal Name | GOODLIFE PHYSICAL MEDICINE CORP |
| Address |
1300 S Pacific Coast Hwy Suite 201 Redondo Beach CA 90277-5003 |
| Phone Number | 3105437779 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446542922 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1300 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-5003 | 3105437779 | GOODLIFE PHYSICAL MEDICINE CORP |
| Organization Legal Name | GOODLIFE PHYSICAL MEDICINE CORP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam M Weitzman | Anesthesiology | Goodlife Physical Medicine Corp | 2218 E Maple Ave, El Segundo, CA 90245-6507 |
| Street Address |
1300 S PACIFIC COAST HWY SUITE 201 |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90277-5003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alanna Grey | Physical Therapy | 1300 S Pacific Coast Hwy, Suite 105, Redondo Beach, CA 90277-5003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan Laveman | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Fernando Carlo | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Gabriel Henry Campion | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Khadija Ismail | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Casey Mariel Krebs | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Allen H Peters | Preventative Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2056 | |
| Sabra Hitchcock | Psychologist, Clinical | 407 N Broadway, Apt 6, Redondo Beach, CA 90277-2807 | |
| Michael B Azarkh | Internal Medicine | 319 N Broadway, Apt 108, Redondo Beach, CA 90277-2846 | |
| Behnam Benjamin Fouladian | Optometry | 403 N Pacific Coast Hwy, Suite 108, Redondo Beach, CA 90277-2882 | |
| Fariba Seraj | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Find all physicians in zip 90277 | |||
| City | REDONDO BEACH |
| Zip Code | 90277 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | REDONDO BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tina M Johnson.
| 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.