Johnson, George A.

Johnson, George A. is an individual health care provider with primary practice located at 555 Castro St , Mountain View CA 94041-2009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, George A. can be contacted via phone (650) 903-3000.

Contact Information

Primary practice address
555 Castro St Mountain View CA 94041-2009
Phone: (650) 903-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G61753 California

Profile Details

NPI number 1124104054
LBN Legal business name Johnson, George A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124104054 NPPES
California MEDICAID 00G617530

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