Individual ProviderJohnson HuaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St, Suite A454, Santa Monica, CA 90404-1249(310) 319-4698PECOS EnrollmentBased on the most recent information from CMS, provider Johnson Hua is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326224080Provider TypeIndividualFull NameHua, JohnsonTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date1/11/2008Last Updated10/14/2021Contact InformationPractice LocationPractice Address1250 16th St, Suite A454, Santa Monica, CA 90404-1249Phone(310) 319-4698Fax(310) 319-4908Mailing LocationMailing Address1250 16th St, Suite A454, Santa Monica, CA 90404-1249Phone(310) 319-4698Fax(310) 319-4908Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA102163California