ANDRE L JOHNSON NPI 1730857871

NPI Information

  • NPI: 1730857871
  • Provider Name: ANDRE L JOHNSON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 18646 OXNARD ST
    TARZANA, CA
    ZIP 91356
  • Phone: (818) 654-3908

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NPI Details

Andre L Johnson is a student in an organized health care education training program in Tarzana, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Andre L Johnson NPI is 1730857871. 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:

18646 OXNARD ST
TARZANA, CA
ZIP 91356-411
Phone: (818) 654-3908

The enumeration date for this NPI number is 9/2/2021 and was last updated on 7/18/2022.

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
1103T00000XPsychologist6301018288MICHIGANNo
2103TC0700XPsychologistClinical6301018288MICHIGANNo
3390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

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