Individual
ERIC MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 S SPALDING DR, SUITE 401, BEVERLY HILLS, CA 90212-1800
(310) 860-3048
Mailing address
PO BOX 1446, HERMOSA BEACH, CA 90254-1446
(910) 620-3189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53446
CA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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