Healthcare Provider Details

I. General information

NPI: 1598873325
Provider Name (Legal Business Name): ALAN CURTIS JOHNSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 SPRUCE STREET SUITE 3
SAN FRANCISCO CA
94118-2682
US

IV. Provider business mailing address

525 SPRUCE STREET SUITE 3
SAN FRANCISCO CA
94118-2682
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-8900
  • Fax: 415-668-1695
Mailing address:
  • Phone: 415-668-8900
  • Fax: 415-668-1695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG25682
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: