Individual
CAMERON J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1686 BARTON RD, REDLANDS, CA 92373-1488
(909) 558-9552
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G70098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G700980
—
CA
Enumeration date
07/13/2006
Last updated
07/22/2021
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