Organization
GUARDIAN PHYSICIAN OVERSIGHT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DOSUMU JOHNSON MD (OWNER)
(310) 953-9759
Entity
Organization
Contact information
Practice address
5100 COLONY PLZ, NEWPORT BEACH, CA 92660-6347
(310) 953-9759
Mailing address
324 S BEVERLY DR # 214, BEVERLY HILLS, CA 90212-4801
(310) 953-9759
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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