Most Relevant Information
Provider Data
| NPI Number: | 1003552274 |
| Provider Name: | ADRIAN TYLER JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2022 |
| Last Updated: | 05/10/2022 |
Provider Practice Location
2750 E WASHINGTON BLVD STE 230
PASADENA
CA
911071449
Practice Location Phone/Fax
| Phone: | 6262968900 |
| Fax: |
Provider Mailing Location
325 S ALMANSOR ST
ALHAMBRA
CA
918014276
Provider Mailing Phone/Fax
| Phone: | 6264764505 |
| Fax: |