Johnson, Kalika Lee
Johnson, Kalika Lee is an sole proprietor health care provider with primary practice located at 525 N Garfield Ave , Monterey Park CA 91754-1202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Kalika Lee can be contacted via phone (626) 307-2129.Contact Information
Primary practice address
525 N Garfield Ave
Monterey Park CA 91754-1202
Phone: (626) 307-2129
Fax: (626) 307-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA18368 | California |
Profile Details
| NPI number | 1689619504 |
|---|---|
| LBN Legal business name | Johnson, Kalika Lee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Mar 29th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689619504 | NPPES |
| California | MEDICAID | PA18368 |
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