Johnson, Walter D

Johnson, Walter D is an individual health care provider with primary practice located at 25455 Barton Rd Suite 108A, Loma Linda CA 92354-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Johnson, Walter D can be contacted via phone (909) 558-6388.

Contact Information

Primary practice address
25455 Barton Rd Suite 108A Loma Linda CA 92354-3128
Phone: (909) 558-6388
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G84949 California

Profile Details

NPI number 1528096757
LBN Legal business name Johnson, Walter D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 14th, 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 1528096757 NPPES
California MEDICAID 00G849490

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