Johnson, Ivy M.

Johnson, Ivy M. is an individual health care provider with primary practice located at 2720 N Harbor Blvd Ste 210 , Fullerton CA 92835-2626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Johnson, Ivy M. can be contacted via phone (714) 446-5192.

Contact Information

Primary practice address
2720 N Harbor Blvd Ste 210 Fullerton CA 92835-2626
Phone: (714) 446-5192
Fax: (714) 515-8360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15987 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 15987 California

Profile Details

NPI number 1962553628
LBN Legal business name Johnson, Ivy M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 15th, 2020 - about 6 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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