Organization
BENJAMIN D JOHNSON, CHIROPRACTIC, INC
Active
Other names
Alosta Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DEAN JOHNSON D.C. (OWNER/CEO)
(626) 335-4597
Entity
Organization
Contact information
Practice address
849 E ROUTE 66, GLENDORA, CA 91740-3603
(626) 335-4597
(626) 963-9511
Mailing address
PO BOX 1619, GLENDORA, CA 91740-1619
(626) 335-4597
(626) 963-9511
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC15470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7906627
—
CA
Enumeration date
03/18/2008
Last updated
03/18/2008
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