Individual provider · Type 1 NPI

Kenneth Johan, MD

Internal Medicine Physician · Victorville, CA

NPI number 1124690656 Active

Practice location

16850 Bear Valley Rd
Victorville, CA 92395-5794

Mailing address

16850 Bear Valley Rd Ste 203
Victorville, CA 92395-5794

Other practice locations

  • 234 E 149th St Ste 8-20, Bronx, NY 10451-5504 · (718) 579-5000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician Primary 207R00000XA195154 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1124690656

Kenneth Johan, MD's National Provider Identifier is 1124690656, issued on Jul 14, 2021. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Victorville, CA. The record was last updated on Sep 9, 2025.