# CRAIG R. JOHNSON, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578962825
- **Authorized official:** DR. CRAIG R JOHNSON M.D. (PRESIDENT)
- **Authorized official phone:** (626) 449-4494

## Contact information

- **Practice address:** 960 E GREEN ST, SUITE 292, PASADENA, CA 91106-2412
- **Practice address phone:** (626) 449-4494
- **Practice address fax:** (626) 449-4474
- **Mailing address:** PO BOX 730, UPLAND, CA 91785-0730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G72241 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 02/17/2015