Individual
MEGAN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 CENTURY PARK E STE 1806, LOS ANGELES, CA 90067-2021
(210) 551-1711
Mailing address
2080 CENTURY PARK E STE 1806, LOS ANGELES, CA 90067-2021
(210) 551-1711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52648
CA
Other
Enumeration date
08/13/2015
Last updated
04/09/2025
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