Individual
DERRICK BERNARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3565 DEL AMO BLVD, TORRANCE, CA 90503-1637
(310) 214-0811
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15689
CA
Other
Enumeration date
04/18/2007
Last updated
12/26/2025
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