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Contact Information

WAVERLY JOHNSON II
1726 E. 117TH ST.
LOS ANGELES, CA90059
 Phone: 323-566-1965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for WAVERLY JOHNSON II · (Male)

NPI # 1639415235
Status Active
Credentials
Entity Individual
Enumeration date 12/31/2012
Last updated 12/31/2012 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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