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Individual

MATTHEW JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 SAN PABLO ST, LOS ANGELES, CA 90033-5331
(323) 865-7785
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A196440
CA

Other

Enumeration date
06/20/2020
Last updated
08/20/2024
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