Johnson, Derrick Bernard
Johnson, Derrick Bernard is an individual health care provider with primary practice located at 2925 Palo Verde Ave , Long Beach CA 90815-1552. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Derrick Bernard can be contacted via phone (562) 429-2473.Contact Information
Primary practice address
2925 Palo Verde Ave
Long Beach CA 90815-1552
Phone: (562) 429-2473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA15689 | California |
Profile Details
| NPI number | 1609093277 |
|---|---|
| LBN Legal business name | Johnson, Derrick Bernard |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Nov 9th, 2012 - about 12 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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