Individual
DR. SEAN L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2414 S FAIRVIEW ST STE 202B, SANTA ANA, CA 92704-5318
(805) 300-6761
Mailing address
631 COUNTRY CLUB DR, BURBANK, CA 91501-1121
(818) 416-5037
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A73716
CA
2085N0700X
Neuroradiology Physician
A73716
CA
2085P0229X
Pediatric Radiology Physician
A73716
CA
2085R0202X
Diagnostic Radiology Physician
A73716
CA
2085R0203X
Therapeutic Radiology Physician
A73716
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A73716
CA
2085U0001X
Diagnostic Ultrasound Physician
A73716
CA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
49574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A73716
MEDICAL LIC
CA
Enumeration date
06/28/2006
Last updated
10/10/2016
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