Active NPI
Cherlin Johnson MD Medical Corporation
- Multi-Specialty Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1720184302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- A85541
- Legal business name
- CHERLIN JOHNSON MD MEDICAL CORPORATION
- Practice address
- 8530 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-3102 - Phone
- (310) 657-0366
- Fax
- (310) 657-0466
- NPI assigned
- Sep 15, 2006
- Last updated
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel F Jacobsen
- Title
- President
- Phone
- (310) 657-0366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | A85541 | CA | Primary |
Addresses
Primary practice location
8530 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-3102
Mailing address
8530 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-3102
Phone (310) 657-0366
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1720184302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8530 WILSHIRE BLVD",
"address_2": "SUITE 250",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113102",
"telephone_number": "310-657-0366",
"fax_number": "310-657-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 WILSHIRE BLVD",
"address_2": "SUITE 250",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113102",
"telephone_number": "310-657-0366",
"fax_number": "310-657-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERLIN JOHNSON MD MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "JACOBSEN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-657-0366"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "CA",
"license": "A85541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.