Individual
ALFRED JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8220 S SAN PEDRO ST, LOS ANGELES, CA 90003-3030
(323) 229-4804
Mailing address
8220 S SAN PEDRO ST, LOS ANGELES, CA 90003-3030
(323) 229-4804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
04/29/2025
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