Individual
MR. ERON DESHANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(213) 944-1842
Mailing address
2714 W 108TH ST, INGLEWOOD, CA 90303-2401
(323) 388-8069
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
03/17/2021
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