Individual provider · Type 1 NPI

Stephanie M. Johnson, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1750184537 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Mailing address

8213 W Park Ave
Niles, IL 60714-1524

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750184537

Stephanie M. Johnson, MD's National Provider Identifier is 1750184537, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 28, 2025.