Delois Penelope Johnson in Santa Monica - Addiction (substance Use Disorder)
Delois Penelope Johnson - NPI 1790977981
Delois Penelope Johnson is a Addiction (substance Use Disorder) in Santa Monica, California. Delois Penelope Johnson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Delois Penelope Johnson is 1790977981. The last update date is 2007-08-13.
Delois Penelope Johnson's current location address is 1328 2nd St, Santa Monica, California. You can contact this provider via phone number 3103946889 and fax number 3103950749. The mailing address for Delois Penelope Johnson is 1328 2nd St, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delois Penelope Johnson |
|---|---|
| Address | 1328 2nd St, Santa Monica, California |
| Phone Number | 3103946889 |
| Fax Number | 3103950749 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790977981 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 1328 2nd St |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904011122 |
| Phone Number | 3103946889 |
| Fax Number | 3103950749 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 101YM0800X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Delois Penelope Johnson?
The Delois Penelope Johnson has been issued the NPI (National Provider Identifier) 1790977981 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Delois Penelope Johnson is geographically located?
The Delois Penelope Johnson is physically situated at the following location: 1328 2Nd St, Santa Monica, CA, 904011122.
What is Delois Penelope Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Delois Penelope Johnson's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790977981 to Delois Penelope Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1790977981 to Delois Penelope Johnson on 2007-08-13.
When was the information pertaining to Delois Penelope Johnson most recently updated or revised?
The details related to Delois Penelope Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-13.
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