MR. GARY JOHNSON NPI 1083085369

NPI Information

NPI: 1083085369
Provider Name: MR. GARY JOHNSON
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
1539 W AVENUE L12
LANCASTER, CA
ZIP 93534
Phone: (661) 948-1275
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MR. Gary Johnson is an assisted living facility in Lancaster, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MR. Gary Johnson NPI is 1083085369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1539 W AVENUE L12
LANCASTER, CA
ZIP 93534-930
Phone: (661) 948-1275
Fax: (661) 902-6985

The enumeration date for this NPI number is 10/13/2015 and was last updated on 10/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		197605271	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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