Search › California › 207L00000X
Andrea Johnson, D.O
NPI 1720374531 · on the registry since 2011
Practice
- Address
- 26520 Cactus Avenue
Moreno Valley, CA 92555 - Phone
- (951) 486-4397
- Fax
- (951) 486-5910
- Organisation at this address
- Taqi'S Inc.
County Of Riverside
County Of Riverside
County Of Riverisde
County Of RiversideInferred from a shared address, not stated in the registry. - Clinicians at this address
- 687
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-18
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