Johnson, Andrew W

Johnson, Andrew W is an sole proprietor health care provider with primary practice located at 3151 Airway Ave Ste G1 , Costa Mesa CA 92626-4624. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Andrew W can be contacted via phone (714) 545-5550.

Contact Information

Primary practice address
3151 Airway Ave Ste G1 Costa Mesa CA 92626-4624
Phone: (714) 545-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA59223 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1730778978
LBN Legal business name Johnson, Andrew W
Credentials MMS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2021
Last updated Sep 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers