JACK W JOHNSON

GARDEN GROVE, CA
NPI1548332570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  G21314)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
-- JACK W JOHNSON MD
12377 LEWIS STREET SUITE #104
GARDEN GROVE, CA 92840-4691
Phone number: 714-703-1366
Mailing Address
-- JACK W JOHNSON MD
12377 LEWIS STREET SUITE #104
GARDEN GROVE, CA 92840-4691
Phone number: 714-703-1366
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