Individual
CHET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14414 DELANO ST, VAN NUYS, CA 91401-2703
(818) 374-2074
Mailing address
14414 DELANO ST, VAN NUYS, CA 91401-2703
(818) 374-2074
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
171M00000X
CA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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