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Organization
STEPHANE E. JOHNSON, MD, P.C.
Active
Organization
STEPHANE E. JOHNSON, MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANE E. JOHNSON M.D. (PSYCHIATRIST)
(951) 387-2676
Entity
Organization
Contact information
Practice address
28078 BAXTER RD, SUITE 228, MURRIETA, CA 92563-1402
(951) 387-2676
(888) 882-0485
Mailing address
41593 WINCHESTER RD, SUITE 200, TEMECULA, CA 92590-4860
(951) 387-2676
(888) 882-0485
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A100636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100636
STATE MEDICAL LICENSE
CA
Enumeration date
01/19/2016
Last updated
01/19/2016
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