Organization
FRONTLINE MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R JOHNSON M.D, (PRESIDENT)
(619) 669-5896
Entity
Organization
Contact information
Practice address
211 S MACLAY AVE, SAN FERNANDO, CA 91340-3603
(714) 528-3895
(562) 684-0205
Mailing address
417 S ASSOCIATED RD # 321, BREA, CA 92821-5802
(714) 528-3895
(562) 684-0205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2083X0100X
Occupational Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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