Johnson, Paul G
Johnson, Paul G is an individual health care provider with primary practice located at 12462 Brookhurst St #A&B, Garden Grove CA 92840-4759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Paul G can be contacted via phone (714) 636-9850.Contact Information
Primary practice address
12462 Brookhurst St #A&B
Garden Grove CA 92840-4759
Phone: (714) 636-9850
Fax: (714) 636-1248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G18771 | California |
Profile Details
| NPI number | 1497790661 |
|---|---|
| LBN Legal business name | Johnson, Paul G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Mar 25th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497790661 | NPPES |
| Colorado | MEDICAID | 00G187710 |
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