Individual
DR. BETHELEN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 SUTTER PL, #203, DAVIS, CA 95616-6201
(530) 750-5880
(530) 750-5881
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A63157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A631570
—
CA
Enumeration date
09/07/2006
Last updated
07/31/2015
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