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Johnathon Justice
NPI 1477704211 · on the registry since 2008 · sole proprietor
Practice
- Address
- 9500 Haven Ave
Suite #100
Rancho Cucamonga, CA 91730 - Phone
- (909) 266-2700
- Organisation at this address
- Elea Care Inc
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 161
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 171M00000X
172V00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-17
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