Johnson, Michael S

Johnson, Michael S is an individual health care provider with primary practice located at 12401 Washington Blvd , Whittier CA 90602-1006. 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, Michael S can be contacted via phone (562) 698-0811.

Contact Information

Primary practice address
12401 Washington Blvd Whittier CA 90602-1006
Phone: (562) 698-0811
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13952 California

Profile Details

NPI number 1497791263
LBN Legal business name Johnson, Michael S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1497791263 NPPES
California MEDICAID PA13952
California Other P00186808

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