Individual
PENNY ROUMANIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11411 BROOKSHIRE AVE STE 101, DOWNEY, CA 90241-5008
(562) 869-9192
Mailing address
1762 WESTWOOD BLVD STE 230, LOS ANGELES, CA 90024-5648
(310) 943-8400
(310) 923-9912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A121083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121083
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
09/26/2007
Last updated
06/01/2023
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