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Jennifer Johnson, M.d., A Professional Corporation
Pediatric Adolescent Medicine Physician in Newport Beach, California
NPI 1710360094

Jennifer Johnson, M.d., A Professional Corporation is a Pediatric Adolescent Medicine Physician based in Newport Beach, CA and is specialized in Adolescent Medicine. Jennifer Johnson, M.d., A Professional Corporation practices in Newport Beach, CA. The NPI Number for Jennifer Johnson, M.d., A Professional Corporation is 1710360094 and holds a License No. A40753 (California).

The current practice location address for Jennifer Johnson, M.d., A Professional Corporation is 366 San Miguel Dr Ste 209, Newport Beach, CA and can be reached out via phone at 949-856-2701.

Location: 366 San Miguel Dr Ste 209, Newport Beach, CA, 92660-7810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710360094
Provider Name
Jennifer Johnson, M.d., A Professional Corporation
Credential
Provider Entity Type
Organization
Address
366 San Miguel Dr Ste 209, Newport Beach, CA, 92660-7810
Phone Number
949-856-2701
Fax Number
Provider Enumeration Date
07/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982648192 01 CA NPID
institution
Provider Business Practice Location Address Details
Address
366 San Miguel Dr Ste 209
City
Newport Beach
State
California
Zip
92660-7810
Phone Number
949-856-2701
Fax Number
person
Provider Business Mailing Address Details
Address
366 San Miguel Dr Ste 209
City
Newport Beach
State
California
Zip
92660-7810
Phone Number
949-856-2701
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
A40753 (California)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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