Jennifer Johnson, MD, a Professional Corporation
Jennifer Johnson, MD, a Professional Corporation provides Pediatric Adolescent Medicine Physician services in Newport Beach, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
366 San Miguel Dr Ste 209Newport Beach, CA 92660-7810 Not confirmed with CMS for 11 years — call before visiting
Phone: (949) 856-2701
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence A40753 (CA) |
|---|
Record details
| NPI number | 1710360094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Johnson — Ceo · (949) 856-2701 |
| NPI enumerated | July 3, 2015 |
| Last updated in NPPES | July 3, 2015 |
| Mailing address | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 |