SearchCalifornia171W00000X

Brandon Johnson

NPI 1720363229 · on the registry since 2011 · sole proprietor

Practice

Address
21041 Parthenia Ave
# 207
Canoga, CA 91325
Phone
(562) 281-2463

Registry record

Primary taxonomy
171W00000X
171W00000X
Also registered as
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-15

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