Individual
DR. GADSON JOHN JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 SANTA MONICA BLVD, SUITE 230, SANTA MONICA, CA 90401-2623
(310) 993-4103
Mailing address
701 SANTA MONICA BLVD, SUITE 230, SANTA MONICA, CA 90401-2623
(310) 993-4103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A100422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A100422
—
CA
Enumeration date
06/14/2007
Last updated
03/01/2012
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