Individual
CHANTA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 CRESCENT PARK W APT 235, PLAYA VISTA, CA 90094-2749
(323) 517-7350
Mailing address
7225 CRESCENT PARK W APT 235, PLAYA VISTA, CA 90094-2749
(323) 517-7350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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