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NPI Code Detail

MEDICARE: JULIE DIANE JOHNSON

MEDICARE: JULIE DIANE JOHNSON
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
11041C0700XClinical Social WorkerLCSW86815CA

General Provider Information

NPI Number : 1427341072
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE DIANE JOHNSON
Provider Business Mailing Address
First Line : 25910 ACERO STE 160M
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-2790
Country : US
Telephone Number : 714-966-8650
Fax Number :
Provider Business Practice Location Address
First Line : 25910 ACERO STE 160
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-2777
Country : US
Telephone Number : 714-966-8650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2011
Last Update Date : 04/26/2023

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Directions to “ JULIE DIANE JOHNSON ” Practice Location

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