Individual provider · Type 1 NPI
Kenji Lamont Johnson, PA
Medical Physician Assistant · Van Nuys, CA
NPI number
1619006731
Active
Practice location
6401 Van Nuys Blvd
Van Nuys, CA 91401-1437
Mailing address
3579 E Foothill Blvd # 531
Pasadena, CA 91107-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 16862 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1619006731
Kenji Lamont Johnson, PA's National Provider Identifier is 1619006731, issued on Mar 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Van Nuys, CA. The record was last updated on Jul 8, 2007.