SearchCalifornia363AM0700X

Andrew Johnson, MMS, PA-C

NPI 1730778978 · on the registry since 2021 · sole proprietor

Practice

Address
3151 Airway Ave Ste G1
Costa Mesa, CA 92626
Phone
(714) 545-5550
Organisation at this address
Neurovibe Llc
Hpr Laboratories
Adler Health Llc
M1 Laboratory Llc
Etc Consultants Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Additional practice sites

  • 3828 Delmas Ter, Culver City, CA
  • 125 Baker St Unit 172, Costa Mesa, CA

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
363AM0700X
363AS0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-08

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