SearchCalifornia251B00000X

Kent Johnson

NPI 1992957971 · on the registry since 2008 · sole proprietor

Practice

Address
2500 Wilshire Blvd
Los Angeles, CA 90057
Phone
(213) 380-9531
Organisation at this address
Portals
Pacific Clinics
Portals House Inc
Portals Mental Health
Jmo Int Skills Dev Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
251B00000X
251B00000X
Also registered as
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-21

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