Johnson, Delois Penelope
Johnson, Delois Penelope is an sole proprietor health care provider with primary practice located at 1328 2Nd St , Santa Monica CA 90401-1122. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Delois Penelope can be contacted via phone (310) 394-6889.Contact Information
Primary practice address
1328 2Nd St
Santa Monica CA 90401-1122
Phone: (310) 394-6889
Fax: (310) 395-0749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 101YM0800X |
Profile Details
| NPI number | 1790977981 |
|---|---|
| LBN Legal business name | Johnson, Delois Penelope |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Aug 13th, 2007 - about 16 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.
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