Individual
KAREN SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3828 DELMAS TER, CULVER CITY, CA 90232-2713
(310) 836-7000
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G69140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G691400
—
CA
Enumeration date
08/20/2006
Last updated
12/02/2021
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