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Contact Information

ANDREA M JOHNSON, DO
26520 CACTUS AVENUE
MORENO VALLEY, CA92555
 Phone: 951-486-4397
 Fax: 951-486-5910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

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

NPI # 1720374531
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/21/2011
Last updated 02/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A12720
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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