Johnson, Malcolm C

Johnson, Malcolm C is an individual health care provider with primary practice located at 1601 Ygnacio Valley Rd , Walnut Creek CA 94598-3122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johnson, Malcolm C can be contacted via phone (925) 939-3000.

Contact Information

Primary practice address
1601 Ygnacio Valley Rd Walnut Creek CA 94598-3122
Phone: (925) 939-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00046336 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A94962 California

Profile Details

NPI number 1003830316
LBN Legal business name Johnson, Malcolm C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 21st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003830316 NPPES
California MEDICAID 00A949620

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