Doctor Name: | BRITTANY M JOHNSON |
NPI Number: | 1003233735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA23181 |
Business Practice Address: | 31537 Rancho Pueblo Rd Suite 105 Temecula, CA - 925924857 |
Business Phone Number: | 9516990848 |
Business Fax Number: | 9516990509 |
Mailing Address: | 31537 Rancho Pueblo Rd, Suite 105 TEMECULA |
State: | CA |
Postal Code: | 925924857 |
Phone Number: | 9516990848 |
Fax Number: | 9516990509 |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA23181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |