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

DR. KENNETH WAYNE JOHNSON, MD

Active Sole Proprietor

Physical Medicine & Rehabilitation · LOS ANGELES, CA

Registration Details

NPI Number
1972560449
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2006 (20.023847193987 yrs)
Last Updated
Dec 10, 2007
Licenses
0428328 (KS)
G83706 (CA)
2006028600 (MO)
Sole Proprietor
Yes

Practice Information

Address
711 W COLLEGE ST
SUITE M88
LOS ANGELES, CA, 900121163
Browse CA providers · Browse ZIP 90012
Phone
2136258825
Fax
2136258838
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in LOS ANGELES, CA

Name Credential NPI
ROBERT ANTHONY BITONTE MD 1669442596
MARY M MICHEL 1649246174
DR. CHARLES FRANK KUNKEL M.D. 1114971413
DR. OMAR A MORA COLON MD 1184662801
DR. HELEN CHUNG M.D. 1306887450
DR. TANNAZ NIKRAVESH M.D. 1386685774
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.