Individual
JAMES KIM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N PEPPER AVE, ANESTHESIA DEPT., 2ND FLOOR, COLTON, CA 92324-1801
(909) 580-2440
(909) 580-2441
Mailing address
PO BOX 765, COLTON, CA 92324-0800
(909) 580-2440
(909) 580-2441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3887
CA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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