Individual provider · Type 1 NPI

Blair R. Johnson, PA

Medical Physician Assistant · Covina, CA

NPI number 1124082292 Active

Practice location

420 W Rowland St
Covina, CA 91723-2943

Call (626) 331-6411 Map

Fax (626) 251-1560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA11436 (CA)
Surgical Physician Assistant 363AS0400XPA11436 (CA)
Medical Physician Assistant Primary 363AM0700XPA11436 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1124082292

Blair R. Johnson, PA's National Provider Identifier is 1124082292, issued on Apr 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Covina, CA. The record was last updated on Oct 14, 2020.