Individual
CHARLES LAMARR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5724 W 3RD ST, #307, LOS ANGELES, CA 90036-3078
(323) 456-0801
(323) 456-0805
Mailing address
650 N ROBERTSON BLVD, WEST HOLLYWOOD, CA 90069-5022
(310) 358-8727
(310) 358-8721
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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