Doctor Name: | ELIZABETH WHITE JOHNSON |
NPI Number: | 1134440423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 33274 |
Business Practice Address: | 50 N La Cienega Blvd Suite #201 Beverly Hills, CA - 902112227 |
Business Phone Number: | 3108609646 |
Business Fax Number: | 3108549020 |
Mailing Address: | 50 N La Cienega Blvd, Suite #201 BEVERLY HILLS |
State: | CA |
Postal Code: | 902112227 |
Phone Number: | 3108609646 |
Fax Number: | 3108549020 |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 33274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |