MARCUS JOHNSON NPI 1083028021

NPI Information

NPI: 1083028021
Provider Name: MARCUS JOHNSON
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
4097 W 142ND ST APT 108
HAWTHORNE, CA
ZIP 90250
Phone: (310) 386-3306
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Marcus Johnson is a rehabilitation practitioner in Hawthorne, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Marcus Johnson NPI is 1083028021. 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:

4097 W 142ND ST APT 108
HAWTHORNE, CA
ZIP 90250-969
Phone: (310) 386-3306

The enumeration date for this NPI number is 6/18/2014 and was last updated on 3/16/2017.

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	225400000X	Rehabilitation Practitioner				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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