institution
Richard G Johnson Md Inc
Specialist in Glendora, California
NPI 1689694523

Richard G Johnson Md Inc is a Specialist based in Glendora, CA. Richard G Johnson Md Inc practices in Glendora, CA. The NPI Number for Richard G Johnson Md Inc is 1689694523 and holds a License No. G45973 (California).

The current practice location address for Richard G Johnson Md Inc is 415 W Carroll Ave, Glendora, CA and can be reached out via phone at 626-914-5219 and via fax at 626-914-7846.

Location: 415 W Carroll Ave, Glendora, CA, 91741-4208
institution
Provider Profile Details
NPI Number
1689694523
Provider Name
Richard G Johnson Md Inc
Credential
Provider Entity Type
Organization
Address
415 W Carroll Ave, Glendora, CA, 91741-4208
Phone Number
626-914-5219
Fax Number
626-914-7846
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WA46488F 01 CA INDIVIDUAL MEDICARE ID
00A616960 05 CA
110086507 01 CA RAILROAD MEDICARE
00G459730 05 CA
WA61696A 01 CA INDIVIDUAL MEDICARE ID
WA46604A 01 CA INDIVIDUAL MEDICARE ID
WG45973E 01 CA INDIVIDUAL MEDICARE ID
00A464880 05 CA
00A466040 05 CA
institution
Provider Business Practice Location Address Details
Address
415 W Carroll Ave
City
State
Zip
91741-4208
Phone Number
626-914-5219
Fax Number
626-914-7846
person
Provider Business Mailing Address Details
Address
415 W Carroll Ave
City
State
Zip
91741-4208
Phone Number
626-914-5219
Fax Number
626-914-7846
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G45973 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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