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Individual
CORY JOHNSON
Active
Individual
CORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A166923
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
A166923
CA
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
03/30/2018
Last updated
04/01/2026
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