Organization
TIMOTHY S. JOHNSTON, M.D. PC
Active
Parent organization
TIMOTHY S. JOHNSTON MD, PC
Other names
Sunshine Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIMOTHY S. JOHNSTON MD, PC
Authorized official
JANETTE PURSLOW (CREDENTIALING COORDINATOR)
(209) 349-8459
Entity
Organization
Contact information
Practice address
3180 COLLINS DR STE A, MERCED, CA 95348-3156
(209) 259-4301
(209) 354-4932
Mailing address
3349 G ST STE F, MERCED, CA 95340-0978
(209) 349-8459
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528097847
—
CA
Enumeration date
05/04/2022
Last updated
05/13/2022
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