Individual
ERNEST E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 EXPOSITION BLVD, BLDG 700, SACRAMENTO, CA 95815-4300
(916) 736-3399
(916) 233-4171
Mailing address
1111 EXPOSITION BLVD, BLDG 700, SACRAMENTO, CA 95815-4300
(916) 736-3399
(916) 233-4171
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C19668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040003539
RR MEDICARE PIN
CA
Enumeration date
05/24/2005
Last updated
08/11/2017
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