Healthcare Provider Details

I. General information

NPI: 1780632299
Provider Name (Legal Business Name): FRANKLIN MARTIN JOHNSON JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 SAN BERNARDINO RD STE 201
UPLAND CA
91786-4979
US

IV. Provider business mailing address

1310 SAN BERNARDINO RD STE 201
UPLAND CA
91786-4979
US

V. Phone/Fax

Practice location:
  • Phone: 909-355-7855
  • Fax: 909-355-7856
Mailing address:
  • Phone: 909-355-7855
  • Fax: 909-355-7856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number20A7957
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number20A7957
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number20A7957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: