MEDICARE: VELISA 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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1598020232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VELISA JOHNSON

Provider Business Mailing Address
First Line	:	9116 RUSTY RIFLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89143-1166
Country	:	US
Telephone Number	:	510-455-1422
Fax Number	:

Provider Business Practice Location Address
First Line	:	9116 RUSTY RIFLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89143-1166
Country	:	US
Telephone Number	:	510-455-1422
Fax Number	:

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	07/09/2012

Similar Medicare Providers

1245517325 — ANNA ANNETTE ROCHIN-MARTINEZ
Practice Location Address:

6661 SILVERSTREAM AVE APT 1008
LAS VEGAS, NV
89107-1166

Practice Phone: 702-588-8011
Practice Fax:

1750026159 — SCARLETT YONKO
Practice Location Address:

7055 E LAKE MEAD BLVD APT 1151
LAS VEGAS, NV
89156-1166

Practice Phone: 715-312-0354
Practice Fax:

1124763305 — AHDEAONA STOCKER
Practice Location Address:

6661 SILVERSTREAM AVE APT 1004
LAS VEGAS, NV
89107-1166

Practice Phone: 725-256-8353
Practice Fax:

1275370918 — SERVANT'S HEART COMMUNITY CARE SERVICES LLC
Practice Location Address:

539 TERRACE POINT DR
NORTH LAS VEGAS, NV
89032-1166

Practice Phone: 702-800-9839
Practice Fax: 702-399-1827

1760653992 — GEORGE M. KO, D.D.S., INC.
Practice Location Address:

531 W LAS TUNAS DR , SUITE C
SAN GABRIEL, CA
91776-1166

Practice Phone: 626-284-8022
Practice Fax:

1811397664 — JUNG W SEO DDS, INC
Practice Location Address:

531 W LAS TUNAS DR , SUITE A
SAN GABRIEL, CA
91776-1166

Practice Phone: 626-282-0884
Practice Fax: 626-282-1884

Directions to “ VELISA JOHNSON ” 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 © 2007-2025 (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.