Individual provider · Type 1 NPI

Russell Laroy Johnson

Contractor · Fontana, CA

NPI number 1659782787 Active

Practice location

11629 Sueno Ct.
Fontana, CA 92337

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1659782787

Russell Laroy Johnson's National Provider Identifier is 1659782787, issued on May 12, 2014. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Fontana, CA. The record was last updated on May 12, 2014.