Individual
MS. IVY M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2720 N HARBOR BLVD STE 210, FULLERTON, CA 92835-2626
(714) 446-5192
(714) 515-8360
Mailing address
2720 N HARBOR BLVD STE 210, FULLERTON, CA 92835-2626
(714) 446-5192
(714) 515-8360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15987
CA
363AS0400X
Surgical Physician Assistant
Primary
PA 15987
CA
Other
Enumeration date
01/16/2007
Last updated
01/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us