DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD OWEN JOHNSON, MD

Active

DR. RICHARD OWEN JOHNSON, MD is a Pediatrics healthcare provider located in MAMMOTH LAKES, California. NPI 1063528362 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MAMMOTH LAKES, CA

Registration Details

NPI Number
1063528362
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2006 (19.940977805747 yrs)
Last Updated
Apr 16, 2013
License
G29540 (CA)

Practice Information

Address
85 SIERRA PARK ROAD
SUITE A
MAMMOTH LAKES, CA, 93546
Browse CA providers · Browse ZIP 93546
Phone
7609244000
Fax
7609244091
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in MAMMOTH LAKES, CA

Name Credential NPI
DR. KIM ESCUDERO M.D. 1063568293
DR. KRISTIN ELIZABETH COLLINS DO 1366678930
MARY BATHEN BISSELL M.D. 1821349622
SARAH RUBERMAN M.D. 1225490659
GRACE CHARMIE KIM MD, MPP 1013479997
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.