Laurance Folkey Johnson, MD Valid NPI

Individual provider · Child & Adolescent Psychiatry Physician · Pasadena, CA

NPI

1245457407

Type

Individual (Type 1)

Primary specialty

Child & Adolescent Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0804X

License number

G017122 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-19

Last updated

2007-07-08