Search › California › 101YA0400X
Willie Johnson
NPI 1386157782 · on the registry since 2017
Practice
- Address
- 17270 Roosevelt St
Riverside, CA 92508 - Phone
- (951) 683-6596
- Organisation at this address
- Mfi Recovery Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Additional practice sites
- 1604 S Santa Fe Ave, San Jacinto, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-13
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