Individual provider · NPI-1

Johannes Czernin, MD

Nuclear Medicine · Los Angeles, CA

NPI number1942245758
StatusActive
Last updated in NPPESFeb 5, 2013

Details

NPI
1942245758
Entity type
Individual (NPI-1)
Name
Johannes Czernin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2006
Last updated
Feb 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineA56351CAYes
2471N0900X Radiologic Technologist, Nuclear Medicine TechnologyA56351CA

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Phone 310-301-6800

Mailing address

5767 W. Century Blvd
Los Angeles, CA 90045-5655

Phone 310-301-6800

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