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Search › California › 183500000X

Deron Johnson

NPI 1023387131 · on the registry since 2011 · sole proprietor

Practice

Address
4616 De Longpre Ave
Los Angeles, CA 90027
Phone
(323) 361-4182
Fax
(323) 644-2084
Organisation at this address
Walgreen Co
Pediatric Care Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California