KENNETH WAYNE JOHNSON

LOS ANGELES, CA
NPI1972560449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  G83706)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: KS  0428328)
208100000X Physical Medicine & Rehabilitation
(Licence: MO  2006028600)
Enumeration Date2006-04-28
Last Update Date2007-12-10
Business Address
Dr. KENNETH WAYNE JOHNSON MD
711 W COLLEGE ST SUITE M88
LOS ANGELES, CA 90012-1163
Phone number: 213-625-8825
Mailing Address
Dr. KENNETH WAYNE JOHNSON MD
PO BOX 491389
LOS ANGELES, CA 90049-9389
Phone number: 310-351-1495
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