Johnson, Corey

Johnson, Corey is an individual health care provider with primary practice located at 22270 Village Way Dr , Canyon Lake CA 92587-7545. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Johnson, Corey can be contacted via phone (951) 541-6251.

Contact Information

Primary practice address
22270 Village Way Dr Canyon Lake CA 92587-7545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95038857 California

Profile Details

NPI number 1225973944
LBN Legal business name Johnson, Corey
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2026
Last updated Apr 20th, 2026 - about 7 months 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.

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