Johnson, Blair R

Johnson, Blair R is an individual health care provider with primary practice located at 420 W Rowland St , Covina CA 91723-2943. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Johnson, Blair R can be contacted via phone (626) 331-6411.

Contact Information

Primary practice address
420 W Rowland St Covina CA 91723-2943
Phone: (626) 331-6411
Fax: (626) 251-1560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA11436 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA11436 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA11436 California

Profile Details

NPI number 1124082292
LBN Legal business name Johnson, Blair R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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