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Individual
DR. JENNIFER JOHNSON
Active
Individual
DR. JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A40753
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A40753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A40753
MEDICAL LICENSE
CA
Enumeration date
06/16/2006
Last updated
03/07/2023
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