Staci R. Johnson is a Psychiatry in Chino, California. Staci R. Johnson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Staci R. Johnson is 1790977502. The last update date is 2012-07-31.
Staci R. Johnson's current location address is 4550 Eucalyptus Ave, Chino, California. You can contact this provider via phone number 3106298989. The mailing address for Staci R. Johnson is 4550 Eucalyptus Ave, Chino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci R. Johnson |
|---|---|
| Address | 4550 Eucalyptus Ave, Chino, California |
| Phone Number | 3106298989 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790977502 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2012-07-31 |
Provider Mailing Address Detail
| Address | 4550 Eucalyptus Ave |
|---|---|
| City | Chino |
| State | California (CA) |
| Post Code | 917109215 |
| Phone Number | 3106298989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A85895 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the Staci R. Johnson's 1790977502?
The Staci R. Johnson's NPI (National Provider Identifier) Number is 1790977502. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Staci R. Johnson is physically located?
The Staci R. Johnson is situated at the following address: 4550 Eucalyptus Ave, Chino, CA 917109215.
What is the area of specialization for Staci R. Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Staci R. Johnson is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790977502 to Staci R. Johnson?
The Staci R. Johnson received its 1790977502 assignment from the Centers for Medicare & Medicaid Services on 2007-08-15.
As of what date were the Staci R. Johnson's details last updated?
The information pertaining to the Staci R. Johnson, including its address, specialty, and other details, was most recently updated on 2012-07-31.