Individual
MR. MATTHEW IAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 226-8098
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 249-0445
(650) 226-8098
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-WCERJQ
CA
Other
Enumeration date
05/14/2019
Last updated
09/08/2025
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