Organization
NOEL E JOHANSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL EVANS JOHANSON MD (OWNER/PRESIDENT)
(714) 541-3570
Entity
Organization
Contact information
Practice address
720 N TUSTIN AVE, STE 201, SANTA ANA, CA 92705-3606
(714) 541-3570
Mailing address
720 N TUSTIN AVE, STE 201, SANTA ANA, CA 92705-3606
(714) 541-3570
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G17121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G171210
—
CA
Enumeration date
10/28/2008
Last updated
01/16/2009
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