Doctor Name: | DR. TATUM S JOHNSON |
NPI Number: | 1003924028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 2006-01294 |
Business Practice Address: | 2301 Rosecrans Ave Suite 4150 El Segundo, CA - 902454967 |
Business Phone Number: | 3107064440 |
Business Fax Number: | |
Mailing Address: | 2301 Rosecrans Ave, Suite 4150 EL SEGUNDO |
State: | CA |
Postal Code: | 902454967 |
Phone Number: | 3107064440 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 2006-01294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |