Ivy M. Johnson in Fullerton - Physician Assistant
Ivy M. Johnson - NPI 1962553628
Ivy M. Johnson is a Physician Assistant in Fullerton, California. Ivy M. Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ivy M. Johnson is 1962553628. The last update date is 2020-01-15.
Ivy M. Johnson's current location address is 2720 N Harbor Blvd Ste 210, Fullerton, California. You can contact this provider via phone number 7144465192 and fax number 7145158360. The mailing address for Ivy M. Johnson is 2720 N Harbor Blvd Ste 210, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy M. Johnson |
|---|---|
| Address | 2720 N Harbor Blvd Ste 210, Fullerton, California |
| Phone Number | 7144465192 |
| Fax Number | 7145158360 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1962553628 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-01-15 |
Provider Mailing Address Detail
| Address | 2720 N Harbor Blvd Ste 210 |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928352626 |
| Phone Number | 7144465192 |
| Fax Number | 7145158360 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15987 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Ivy M. Johnson by the Centers for Medicare & Medicaid Services?
The Ivy M. Johnson has been issued the NPI (National Provider Identifier) 1962553628. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ivy M. Johnson is physically located?
The Ivy M. Johnson is situated at the following address: 2720 N Harbor Blvd Ste 210, Fullerton, CA 928352626.
What is Ivy M. Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ivy M. Johnson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1962553628 assigned to Ivy M. Johnson?
The Ivy M. Johnson was issued its 1962553628 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ivy M. Johnson most recently updated or refreshed?
The details pertaining to the Ivy M. Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-01-15.
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