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Individual

DR. JOHN OLAF JOHANSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
2809 OLIVE HWY, SUITE 140, OROVILLE, CA 95966
(530) 534-1400
(530) 534-6380
Mailing address
2981 OLIVE HWY, OROVILLE, CA 95966-6109
(530) 533-4500
(530) 533-5643

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A46646
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A466460
BLUE SHIELD
CA
05
00A466460
CA
Enumeration date
07/10/2006
Last updated
03/11/2019
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