Individual
MOLLIE MAUREEN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095-0001
(310) 794-1195
(310) 794-7491
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A107991
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A107991
CA
Other
Enumeration date
05/07/2008
Last updated
01/17/2020
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