Dr XA D JOHNSON IV is a male medical professional, specializing in Anesthesiology. He graduated in 2005 from University Of Illinois At Chicago Health Science Center.
PERMANENTE MEDICAL GROUP INC
710 S BROADWAY
WALNUT CREEK
CA
945965294
Tel: 9252954145
| Npi | 1093920084 |
| Pac Id | 0143413823 |
| Professional Enrollment Id | I20101026001144 |
| Last Name | JOHNSON |
| First Name | XA |
| Middle Name | D |
| Suffix | IV |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2005 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Group Practice Pac Id | 8921910225 |
| Number Of Group Practice Members | 7392 |
| Line 1 Street Address | 710 S BROADWAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 945965294 |
| Phone Number | 9252954145 |
| Hospital Affiliation Ccn 1 | 050075 |
| Hospital Affiliation Lbn 1 | KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND |
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| Professional Accepts Medicare Assignment | Y |
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