MEDICARE: BRYAN REUBEN JOHNSON PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1316438807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN REUBEN JOHNSON PA-C

Provider Business Mailing Address
First Line	:	8350 BARTON AVE NW
Second Line	:
City	:	BUFFALO
State	:	MN
Zip	:	55313-2749
Country	:	US
Telephone Number	:	763-587-8662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E. CESAR CHAVEZ AVE
Second Line	:	SUITE 2500
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-9003
Country	:	US
Telephone Number	:	323-328-8059
Fax Number	:

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

Provider Enumeration Date	:	05/21/2018
Last Update Date	:	08/24/2022

Similar Medicare Providers

1346942307 — CONNIE HOA LY DO
Practice Location Address:

1200 N. STATE ST , CLINIC TOWER, SUITE A7D
LOS ANGELES, CA
90033-9003

Practice Phone: 323-409-6931
Practice Fax:

1609413509 — MR. DAVID ANTHONY MORIEL JR. AGACNP
Practice Location Address:

1700 E. CESAR CHAVEZ AVE. , 2200
LOS ANGELES, CA
90033-9003

Practice Phone: 323-268-5000
Practice Fax:

1700513660 — ST. JOHNS COMMUNITY HEALTH
Practice Location Address:

1321 E. 1ST STREET
LOS ANGELES, CA
90033-9003

Practice Phone: 323-541-1600
Practice Fax: 323-541-1661

1356554984 — DR. FLORENCE ARCURI CLARK PHD, OTR L
Practice Location Address:

2250 ALCAZAR ST , CHP-133
LOS ANGELES, CA
90089-9003

Practice Phone: 323-442-3340
Practice Fax: 323-442-3351

1871002436 — DIAHNN FUTALAN CAMPBELL MD
Practice Location Address:

8700 BEVERLY BLVD. , SUITE 3622
LOS ANGELES, CA
90048-9003

Practice Phone: 310-423-7417
Practice Fax:

1104473495 — ELIZABETH PYATAK OTR/L
Practice Location Address:

1540 ALCAZAR ST. , CHP-133
LOS ANGELES, CA
90089-9003

Practice Phone: 323-442-2615
Practice Fax:

Directions to “ BRYAN REUBEN JOHNSON PA-C” 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.