Individual
DR. BENJAMIN DEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
849 E RTE 66, PO BPX 1619, GLENDORA, CA 91740-3603
(626) 335-4597
(626) 963-9511
Mailing address
849 E RTE 66, PO BOX 1619, GLENDORA, CA 91740-1619
(626) 335-4597
(626) 963-9511
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
3812
AZ
111NX0800X
Orthopedic Chiropractor
Primary
DC 15470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7906627
—
CA
Enumeration date
07/12/2006
Last updated
12/12/2007
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