Individual
MR. NOEL E JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S ANAHEIM HILLS RD, # 200, ANAHEIM, CA 92807-4780
(714) 809-6289
Mailing address
500 S ANAHEIM HILLS RD, # 200, ANAHEIM, CA 92807-4780
(714) 809-6289
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
07/26/2006
Last updated
05/20/2011
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