Johnson, Paul G

Johnson, Paul G is an individual health care provider with primary practice located at 12462 Brookhurst St #A&B, Garden Grove CA 92840-4759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Paul G can be contacted via phone (714) 636-9850.

Contact Information

Primary practice address
12462 Brookhurst St #A&B Garden Grove CA 92840-4759
Phone: (714) 636-9850
Fax: (714) 636-1248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G18771 California

Profile Details

NPI number 1497790661
LBN Legal business name Johnson, Paul G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 25th, 2008 - about 17 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 1497790661 NPPES
Colorado MEDICAID 00G187710

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