Individual
DR. JAN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BJ6359271
Contact information
Practice address
5 JOURNEY STE 140, ALISO VIEJO, CA 92656-5330
(949) 831-4472
(949) 831-6499
Mailing address
323 VIA PROMESA, SAN CLEMENTE, CA 92673-6820
(949) 831-4472
(949) 831-6499
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
BJ6359271
TX
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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