Individual
JOHANNA SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, MGC
Contact information
Practice address
11870 SANTA MONICA BLVD, SUITE 106429, LOS ANGELES, CA 90025-2276
(917) 405-5143
Mailing address
11870 SANTA MONICA BLVD, SUITE 106429, LOS ANGELES, CA 90025-2276
(917) 405-5143
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000495
CA
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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