Search › California › 164X00000X
Coulsander Johnson
NPI 1013396340 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2090 Myrtle Ave
Long Beach, CA 90806 - Phone
- (562) 230-3354
- Fax
- (562) 247-1822
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Also registered as
- 251E00000X
374U00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-31
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