Individual
DR. CLARE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 W I ST, LOS BANOS, CA 93635-3419
(209) 826-0591
Mailing address
520 W I ST, LOS BANOS, CA 93635-3419
(209) 826-0591
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
134295
CA
207P00000X
Emergency Medicine Physician
69519
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2010
Last updated
01/30/2017
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