Individual provider · Type 1 NPI

Johnson Benjamin Lightfoote, MD

Diagnostic Radiology Physician · Pomona, CA

NPI number 1083696637 Active

Practice location

1798 N Garey Ave
Pomona, CA 91767

Call (909) 865-9535 Map

Fax (909) 630-7394

Mailing address

808 S Easthills Dr
West Covina, CA 91791-3449

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700XG39456 (CA)
Diagnostic Radiology Physician Primary 2085R0202XG39456 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083696637

Johnson Benjamin Lightfoote, MD's National Provider Identifier is 1083696637, issued on Nov 18, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Pomona, CA. The record was last updated on Jun 11, 2011.