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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