Search › California › 104100000X
Jacqueline Johnson
NPI 1003538398 · on the registry since 2022
Practice
- Address
- 3200 Long Beach Blvd
Long Beach, CA 90807 - Phone
- (562) 548-6500
- Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California