SearchCaliforniaAssisted Living Facility

Gary Johnson

NPI 1083085369 · on the registry since 2015 · sole proprietor

Practice

Address
1539 W Avenue L12
Lancaster, CA 93534
Phone
(661) 948-1275
Fax
(661) 902-6985

Registry record

Primary taxonomy
Assisted Living Facility
310400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-13

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