Organization · Type 2 NPI

Samantha Johnson O.d., PC

Clinic/Center · Los Angeles, CA

NPI number 1760101588 Active

Practice location

4545 E 3rd St Ste 105
Los Angeles, CA 90022-1656

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1760101588

Samantha Johnson O.d., PC's National Provider Identifier is 1760101588, issued on Aug 24, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 24, 2022.