Individual
JOHANSEN BIJAN AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR # 8218, SAN DIEGO, CA 92103-1911
(619) 471-0209
Mailing address
200 W ARBOR DR # 8218, SAN DIEGO, CA 92103-1911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
191319
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
01/21/2025
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