Individual
MR. KENJI LAMONT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6401 VAN NUYS BLVD, VAN NUYS, CA 91401-1437
(818) 781-7900
Mailing address
3579 E FOOTHILL BLVD # 531, PASADENA, CA 91107-3119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
16862
CA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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