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Contact Information

JAN M JOHNSON, BJ6359271
5 JOURNEY STE 140
ALISO VIEJO, CA92656-5330
 Phone: 949-831-4472
 Fax: 949-831-6499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAN M JOHNSON · (Female)

NPI Number 1326193632
Status Active
Credentials BJ6359271
Entity Individual
Enumeration date 01/24/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # BJ6359271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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