Individual
ARIK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ, SUITE B200, LOS ANGELES, CA 90095-8346
(310) 825-4989
Mailing address
PO BOX 480489, LOS ANGELES, CA 90048-1489
(323) 868-9567
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PSY222170
—
CA
Enumeration date
06/19/2009
Last updated
05/10/2012
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