Johnson, Kenneth S

Johnson, Kenneth S is an individual health care provider with primary practice located at 18685 Main St # A Suite 600, Huntington Beach CA 92648-1723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Kenneth S can be contacted via phone (562) 407-2080.

Contact Information

Primary practice address
18685 Main St # A Suite 600 Huntington Beach CA 92648-1723
Phone: (562) 407-2080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A43322 California

Profile Details

NPI number 1023199882
LBN Legal business name Johnson, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 27th, 2013 - about 13 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 1023199882 NPPES
California MEDICAID 00A433223

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