Most Relevant Information
Provider Data
| NPI Number: | 1003558305 |
| Provider Name: | AUSTIN DEAN JOHNSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2022 |
| Last Updated: | 04/08/2022 |
Provider Practice Location
11234 ANDERSON ST
LOMA LINDA
CA
923542804
Practice Location Phone/Fax
| Phone: | 9095586491 |
| Fax: |
Provider Mailing Location
11234 ANDERSON STREET
GME OFFICE WESTERLY SUITE C
LOMA LINDA
CA
923542804
Provider Mailing Phone/Fax
| Phone: | 9095586491 |
| Fax: |