Individual
MR. DAVID JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(424) 454-6002
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(424) 454-6002
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/28/2022
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