Johnson, Tracy

Johnson, Tracy is an individual health care provider with primary practice located at 14445 Olive View Dr , Sylmar CA 91342-1437. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Johnson, Tracy can be contacted via phone (747) 210-3000.

Contact Information

Primary practice address
14445 Olive View Dr Sylmar CA 91342-1437
Phone: (747) 210-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A177199 California
Other Service Providers / Specialist 174400000X PTL3958 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A177199 California

Profile Details

NPI number 1972122646
LBN Legal business name Johnson, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2020
Last updated Aug 10th, 2023 - about 2 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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