Organization
KENNETH S. JOHNSON, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S JOHNSON M.D. (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
14900 IMPERIAL HWY, LA MIRADA, CA 90638-2172
(562) 944-1900
Mailing address
14120 ALONDRA BLVD STE C, SANTA FE SPRINGS, CA 90670-5842
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A43322
CA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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