Individual
ERIC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, 76-143 CHS MAIL CODE 690218, LOS ANGELES, CA 90095-3075
(310) 206-1169
(310) 825-1311
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
G38631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G386310
—
CA
01
—
953986377
TAX ID #
CA
Enumeration date
09/17/2006
Last updated
05/12/2023
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