Organization
SANDRA JOHNSON PROFESSIONAL CORPORATION
Active
Organization
SANDRA JOHNSON PROFESSIONAL CORPORATION
Active
Other names
Addiction Physician Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL POWERS (ADMINISTRATOR)
(916) 238-8945
Entity
Organization
Contact information
Practice address
1651 RESPONSE RD STE 350, SACRAMENTO, CA 95815-5255
(916) 573-1372
Mailing address
1651 RESPONSE RD STE 350, SACRAMENTO, CA 95815-5255
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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