Johnson, Keith

Johnson, Keith is an sole proprietor health care provider with primary practice located at 11015 Bloomfield Ave , Santa Fe Springs CA 90670-4601. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Johnson, Keith can be contacted via phone (562) 906-2676.

Contact Information

Primary practice address
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601
Phone: (562) 906-2676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1457075772
LBN Legal business name Johnson, Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2022
Last updated May 2nd, 2023 - about 2 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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