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Contact Information

JENNIFER JOHNSON, MD
366 SAN MIGUEL DR
SUITE 209
NEWPORT BEACH, CA92660-7817
 Phone: 949-856-2701
 Fax: 949-625-7516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER JOHNSON · (Female)

NPI # 1982648192
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A40753
  • CA Other A40753 MEDICAL LICENSE
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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