Individual provider · Type 1 NPI
Glenn Edwin Johnson, DC
Chiropractor · Anaheim, CA
NPI number
1225235997
Active
Practice location
1665 S Brookhurst St, Suite J
Anaheim, CA 92804-6000
Fax (714) 400-0026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC17210 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1225235997
Glenn Edwin Johnson, DC's National Provider Identifier is 1225235997, issued on Jun 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Anaheim, CA. The record was last updated on Jul 8, 2007.