Organization
SIERRA SPRING FAMILY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG RUSSELL JOHNSON M.D. (PRESIDENT, CRAIG R. JOHNSON MD INC)
(626) 449-4494
Entity
Organization
Contact information
Practice address
960 E GREEN ST, SUITE 292, PASADENA, CA 91106-2401
(626) 449-4494
(626) 449-4474
Mailing address
960 E GREEN ST, SUITE 292, PASADENA, CA 91106-2401
(626) 449-4494
(626) 449-4474
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP4487
RAILROAD MEDICARE
CA
Enumeration date
03/15/2007
Last updated
01/27/2010
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