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

JACK W JOHNSON, MD

Active

JACK W JOHNSON, MD is a Psychiatry healthcare provider located in GARDEN GROVE, California. NPI 1548332570 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · GARDEN GROVE, CA

Registration Details

NPI Number
1548332570
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2006 (19.752396010229 yrs)
Last Updated
Jul 8, 2007
License
G21314 (CA)

Practice Information

Address
12377 LEWIS STREET
SUITE #104
GARDEN GROVE, CA, 928404691
Browse CA providers · Browse ZIP 92840
Phone
7147031366
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in GARDEN GROVE, CA

Name Credential NPI
MRS. RAVINDER P SINGH MD 1972560605
DR. TRUC HUY DAO MD 1235185075
DR. CLAYTON LONG CHIEU CHAU MD, PHD 1104914449
DR. JOHN R WEINSTEIN 1255402608
MR. BUM SOO LEE M.D. 1578636429
LEE JAY DOLOWICH M.D. 1831496900
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.