SearchCalifornia172A00000X

Earl Johnson

NPI 1861807505 · on the registry since 2014

Practice

Address
769 19th St
Oakland, CA 94612
Phone
(510) 834-4553
Fax
(510) 834-4502

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-20

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