Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY JOHNSON
Active Sole ProprietorMR. GARY JOHNSON is a Assisted Living Facility healthcare provider located in LANCASTER, California. NPI 1083085369 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · LANCASTER, CA
Registration Details
- NPI Number
- 1083085369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2015 (10.829457276862 yrs)
- Last Updated
- Oct 13, 2015
- License
-
197605271 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1539 W AVENUE L12LANCASTER, CA, 935346930Browse CA providers · Browse ZIP 93534
- Phone
- 6619481275
- Fax
- 6619026985
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in LANCASTER, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIE ESAU HARRIS | LVN | 1962661330 |
| MISS WANDA ELAINE SMITH | ADMINISTRATOR | 1083045496 |
| JANIE HODGE | — | 1962960872 |
| KESHA RICHARDSON | — | 1588348536 |
| MARIAN ANTONA | — | 1568338325 |
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.