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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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