# CIARA V JOHNSON MD INC.

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

## Provider details

- **NPI number:** 1962057869
- **Authorized official:** DR. CIARA JOHNSON MD (OWNER/PRESIDENT)
- **Authorized official phone:** (650) 575-3825

## Contact information

- **Practice address:** 1635 CANDACE WAY, LOS ALTOS, CA 94024-6243
- **Practice address phone:** (650) 575-3825
- **Mailing address:** 1635 CANDACE WAY, LOS ALTOS, CA 94024-6243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2019
- **Last updated:** 08/07/2019