MARK C. JOHANSEN

RIVERSIDE, CA
NPI1932257979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A9549)
Enumeration Date2007-01-08
Last Update Date2022-02-04
Business Address
MARK C. JOHANSEN DO
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
Mailing Address
MARK C. JOHANSEN DO
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000