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Mishelle Johanson
NPI 1932394681 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2385 Roscomare Rd
#E8
Los Angeles, CA 90077 - Phone
- (310) 966-7877
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-22
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