Individual
DR. FREDERICK L JOHNSON
Active
Individual
DR. FREDERICK L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A556180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A556180
BLUE SHIELD
CA
05
—
00A556180
—
CA
01
—
A55618
LICENSE
CA
01
—
CN2480
RAILROAD MEDICARE
—
Enumeration date
01/03/2007
Last updated
05/20/2019
Update your record
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