J.R. JOHNSON, M.D., INC
Ambulatory Health at Calle Amanecer, San Clemente, CA

License number
California G69427
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JAMES ROBERT JOHNSON M.D.
Title: PRESIDENT
Phone: (949) 218-1470
Address
Address
901 Calle Amanecer STE 100, San Clemente, CA 92673
National Provider ID: 1184836066
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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J.R. JOHNSON, M.D., INC

San Clemente, CA

Registration:
Jan 30, 2002
Addresses:
665 Camino De Los Mares STE 200, San Clemente, CA 92673 (Physical)
901 Calle Amanecer, San Clemente, CA 92673
State ID:
C2379048
Business type:
Articles of Incorporation
President:
James R. Johnson (President)
Agent:
James Robert Johnson,Laguna Niguel, CA 92677 (Physical)

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