MEDICARE: DR. KENNETH WAYNE JOHNSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	0428328	KS
2	208100000X	Physical Medicine & Rehabilitation Physician	G83706	CA
3	208100000X	Physical Medicine & Rehabilitation Physician	2006028600	MO

General Provider Information

NPI Number	:	1972560449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH WAYNE JOHNSON MD

Provider Business Mailing Address
First Line	:	PO BOX 491389
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-9389
Country	:	US
Telephone Number	:	310-351-1495
Fax Number	:	866-631-5338

Provider Business Practice Location Address
First Line	:	711 W COLLEGE ST
Second Line	:	SUITE M88
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1163
Country	:	US
Telephone Number	:	213-625-8825
Fax Number	:	213-625-8838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	12/10/2007

Similar Medicare Providers

1316757016 — MELODY JON
Practice Location Address:

711 W COLLEGE ST
LOS ANGELES, CA
90012-1163

Practice Phone: 213-235-4845
Practice Fax:

1538173083 — CHINATOWN CHRISTIAN MEDICAL GROUP
Practice Location Address:

711 W COLLEGE ST , STE 530
LOS ANGELES, CA
90012-1163

Practice Phone: 213-617-2923
Practice Fax: 213-226-5469

1164539433 — HIRA LAL JINDAL M.D.
Practice Location Address:

711 W COLLEGE ST , 590
LOS ANGELES, CA
90012-1163

Practice Phone: 213-680-9190
Practice Fax: 213-680-0246

1528178332 — DR. GEORGE WEE KENG MA M.D.
Practice Location Address:

711 W COLLEGE ST , SUITE 210
LOS ANGELES, CA
90012-1163

Practice Phone: 213-621-2998
Practice Fax: 213-621-2158

1821109083 — DR. JAN W DUNCAN MD
Practice Location Address:

711 W COLLEGE ST , #625
LOS ANGELES, CA
90012-1163

Practice Phone: 323-267-0222
Practice Fax: 213-621-4440

1710082805 — DR. STEPHEN KAM-CHEUNG KWAN M.D.
Practice Location Address:

711 W COLLEGE ST , 200
LOS ANGELES, CA
90012-1163

Practice Phone: 213-680-0222
Practice Fax: 213-680-3603

Directions to “ DR. KENNETH WAYNE JOHNSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.