Organization
KENNETH S JOHNSON, M.D., INC.
Active
Organization
KENNETH S JOHNSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S JOHNSON M.D. (OWNER)
(562) 407-2080
Entity
Organization
Contact information
Practice address
18685 MAIN ST # A, SUITE 600, HUNTINGTON BEACH, CA 92648-1723
(562) 407-2080
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A43322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A433223
—
CA
Enumeration date
10/18/2006
Last updated
05/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up