Individual
JENNIFER A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7050
Mailing address
325 DISTEL CIR DEPT OF, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A127145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113790
SID # 113790
CA
Enumeration date
02/06/2012
Last updated
01/10/2023
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