Healthcare Provider Details
I. General information
NPI: 1801746904
Provider Name (Legal Business Name): THE JOHNSON HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 ALAMITOS AVE
LONG BEACH CA
90802-1614
US
IV. Provider business mailing address
500 ALAMITOS AVE
LONG BEACH CA
90802-1614
US
V. Phone/Fax
- Phone: 832-553-1328
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HUMA
HAIDER
Title or Position: OWNER
Credential:
Phone: 832-553-1328