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NPI Code Detail

MEDICARE: MRS. SONIA JOHNSON

MEDICARE: MRS. SONIA 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 WorkerLCS23435CA

General Provider Information

NPI Number : 1609903921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONIA JOHNSON
Provider Business Mailing Address
First Line : 2402 ALLRED ST
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-3361
Country : US
Telephone Number : 562-984-7308
Fax Number :
Provider Business Practice Location Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-432-5185
Fax Number : 323-432-5086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 05/09/2013

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Directions to “ MRS. SONIA JOHNSON ” Practice Location

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