Individual
DR. MAXWELL BATES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
1510 SAN PABLO ST STE 415, LOS ANGELES, CA 90033-5403
(323) 442-7903
Mailing address
867 MONTEREY RD, SOUTH PASADENA, CA 91030-3157
(323) 202-5765
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A159221
CA
Other
Enumeration date
03/20/2017
Last updated
07/21/2022
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