Johnson, Robert R
Johnson, Robert R is an individual health care provider with primary practice located at 3150 Bristol St Ste 400 , Costa Mesa CA 92626-3054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, Robert R can be contacted via phone (949) 266-3700.Contact Information
Primary practice address
3150 Bristol St Ste 400
Costa Mesa CA 92626-3054
Phone: (949) 266-3700
Fax: (949) 266-3750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20A4908 | California |
Profile Details
| NPI number | 1437163953 |
|---|---|
| LBN Legal business name | Johnson, Robert R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jun 6th, 2017 - about 8 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 | 1437163953 | NPPES |
| California | MEDICAID | 00AX56630 |
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