KENNETH JOHAN

VICTORVILLE, CA
NPI1124690656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A195154)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-07-14
Last Update Date2024-07-01
Business Address
KENNETH JOHAN MD
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395-5794
Phone number: 760-241-8000
Mailing Address
KENNETH JOHAN MD
17350 HUMPHREYS PKWY UNIT 5303
SANTA CLARITA, CA 91387-3726
Phone number: 312-478-4409