Search › California › 106H00000X
Ivan Johnson
NPI 1124226808 · on the registry since 2007 · sole proprietor
Practice
- Address
- 840 N Avenue 66
Los Angeles, CA 90042 - Phone
- (240) 762-8330
- Clinicians at this address
- 555
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-30
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