JENNIFER JOHNSON M.D. A PROFESSIONAL CORPORATION NPI 1710360094

NPI Information

NPI: 1710360094
Provider Name: JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
366 SAN MIGUEL DR STE 209
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 856-2701
Get Directions

JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION is an adolescent medicine pediatrics in Newport Beach, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION NPI is 1710360094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

366 SAN MIGUEL DR STE 209
NEWPORT BEACH, CA
ZIP 92660-810
Phone: (949) 856-2701

The provider's authorized official is Jennifer Johnson .
The authorized official title is Ceo and has the following contact phone number (949) 856-2701.

The enumeration date for this NPI number is 7/3/2015 and was last updated on 7/3/2015.

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	2080A0000X	Pediatrics	Adolescent Medicine	A40753	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1982648192	OTHER	CALIFORNIA	NPID

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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