Individual
DR. CALI ELYSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, HCT 4300, LOS ANGELES, CA 90033-5310
(323) 442-5876
Mailing address
1520 SAN PABLO ST, HCT 4300, LOS ANGELES, CA 90033-5310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
135994
CA
2086S0129X
Vascular Surgery Physician
Primary
12250467-1205
UT
Other
Enumeration date
05/14/2015
Last updated
10/25/2021
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