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Organization
W IRVING JOHNSON MD INC
Active
Organization
W IRVING JOHNSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM IRVING JOHNSON MD (CORP PRESIDENT PHYSICIAN)
(510) 208-5100
Entity
Organization
Contact information
Practice address
418 30TH STREET, OAKLAND, CA 94609-3302
(510) 208-5100
(510) 465-6810
Mailing address
418 30TH STREET, OAKLAND, CA 94609-3302
(510) 208-5100
(510) 465-6810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C36088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C360880
—
CA
Enumeration date
12/05/2005
Last updated
12/17/2009
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