Johnson, Kenneth S
Johnson, Kenneth S is an individual health care provider with primary practice located at 18685 Main St # A Suite 600, Huntington Beach CA 92648-1723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Kenneth S can be contacted via phone (562) 407-2080.Contact Information
Primary practice address
18685 Main St # A Suite 600
Huntington Beach CA 92648-1723
Phone: (562) 407-2080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A43322 | California |
Profile Details
NPI number | 1023199882 |
---|---|
LBN Legal business name | Johnson, Kenneth S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | Aug 27th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023199882 | NPPES |
California | MEDICAID | 00A433223 |
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