Jennifer Johnson, M.d., A Professional Corporation
Pediatric Adolescent Medicine
Jennifer Johnson, M.d., A Professional Corporation is a Newport Beach, California based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
366 San Miguel Dr Ste 209, Newport Beach, California - 92660-7810. They can be contacted on phone at
949-856-2701.
NPI number (Unique professional ID) for Jennifer Johnson, M.d., A Professional Corporation is
1710360094 which was assigned by NPPES on 03 Jul, 2015 and it was last updated on 03 Jul, 2015.
Jennifer Johnson, M.d., A Professional Corporation license number is
A40753 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Jennifer Johnson, M.d., A Professional Corporation specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Jennifer Johnson, M.d., A Professional Corporation basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Jennifer Johnson, M.d., A Professional Corporation |
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Business Address:
Jennifer Johnson, M.d., A Professional Corporation address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 366 San Miguel Dr Ste 209
Newport Beach, CA, 92660-7810
United States |
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| Phone Number : | 949-856-2701 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710360094 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Jul, 2015 |
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| Last Updated On : | 03 Jul, 2015 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jennifer Johnson |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CEO |
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| Phone Number : | 949-856-2701 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Johnson, M.d., A Professional Corporation are as mentioned. Primary taxonomy code for Jennifer Johnson, M.d., A Professional Corporation is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A40753 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Johnson, M.d., A Professional Corporation such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1982648192 | Other | CA | NPID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 366 San Miguel Dr Ste 209
Newport Beach, CA, 92660-7810
United States |
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| Phone Number : | 949-856-2701 |
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Business Location:
Patients can refer following map for directions to
Jennifer Johnson, M.d., A Professional Corporation practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.