Johnson, Jennifer

Johnson, Jennifer is an sole proprietor health care provider with primary practice located at 366 San Miguel Dr Suite 209, Newport Beach CA 92660-7817. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Johnson, Jennifer can be contacted via phone (949) 856-2701.

Contact Information

Primary practice address
366 San Miguel Dr Suite 209 Newport Beach CA 92660-7817
Phone: (949) 856-2701
Fax: (949) 625-7516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A40753 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A40753 California

Profile Details

NPI number 1982648192
LBN Legal business name Johnson, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1982648192 NPPES
California Other A40753 MEDICAL LICENSE

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