Individual
KAREN SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5017 PALMETTO AVE APT 68, PACIFICA, CA 94044-1036
(415) 647-2353
(888) 960-9079
Mailing address
5017 PALMETTO AVE APT 68, PACIFICA, CA 94044-1036
(415) 647-2353
(888) 960-9079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
301041281
MI
2084P0800X
Psychiatry Physician
Primary
C41861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891861308
NPI
—
01
—
301041281
PHYSICIAN LICENSE
MI
01
—
C41861
MEDICAL LICENSE
CA
Enumeration date
11/27/2006
Last updated
05/21/2023
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