Dr. Jennifer Johnson --
M.D. | Pediatric Adolescent Medicine | Female
Dr. Jennifer Johnson --, M.D. is a Newport Beach, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Jennifer Johnson -- is
Po Box 9996, Newport Beach, California - 92658-1996. She can be contacted on phone at
949-856-2701 and fax number 949-625-7516.
Dr. Jennifer Johnson -- is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennifer Johnson -- is
1982648192 which was assigned by NPPES on 16 Jun, 2006 and it was last updated on 07 Mar, 2023.
Dr. Jennifer Johnson -- license number is
A40753 for Pediatrics, Adolescent Medicine (2080A0000X) in California.
Dr. Jennifer Johnson -- 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:
Dr. Jennifer Johnson -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Dr. Jennifer Johnson -- |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Jennifer Johnson -- 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 : | Po Box 9996
Newport Beach, CA, 92658-1996
United States |
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| Phone Number : | 949-856-2701 |
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| Fax Number : | 949-625-7516 |
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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 : | 1982648192 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Jun, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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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 Dr. Jennifer Johnson -- are as mentioned. Primary taxonomy code for Dr. Jennifer Johnson --, M.D. is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A40753 | CA |
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | A40753 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Johnson -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A40753 | Other (non-Medicare) | CA | Medical license |
| D39242 | MEDICARE UPIN | | |
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, Suite 209
Newport Beach, CA, 92660-7817
United States |
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| Phone Number : | 949-856-2701 |
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| Fax Number : | 949-625-7516 |
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Business Location:
Patients can refer following map for directions to
Dr. Jennifer Johnson -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.