Johnson, Waverly

Johnson, Waverly is an sole proprietor health care provider with primary practice located at 1726 E. 117Th St. , Los Angeles CA 90059. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Johnson, Waverly can be contacted via phone (323) 566-1965.

Contact Information

Primary practice address
1726 E. 117Th St. Los Angeles CA 90059
Phone: (323) 566-1965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X California

Profile Details

NPI number 1639415235
LBN Legal business name Johnson, Waverly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2012
Last updated Dec 31st, 2012 - about 13 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.

Request for update

Popular Providers