NPI 1255615522 · live from the CMS NPI Registry
Abbassi Johnson Professional Corporation
Dentist, Oral and Maxillofacial Surgery in Covina, CA. National Provider Identifier 1255615522, active.
NPI record
| NPI | 1255615522 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Oral and Maxillofacial Surgery 1223S0112X |
| Practice location | 558 W Badillo St, Covina, CA 91722 |
| Practice phone | 626-331-0506 |
| Enumerated | October 5, 2011 |
| Last updated | October 5, 2011 |
| Authorized official | Arthur Johnson, Owner |
| Other names | N/A |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | 54047 (CA) |
| Dentist, General Practice | 1223G0001X | 55948 (CA) |
| Dentist, General Practice | 1223G0001X | 54322 (CA) |
| Dentist, Periodontics | 1223P0300X | 47476 (CA) |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 24358 (CA) |
| Dentist, Oral and Maxillofacial Surgery primary | 1223S0112X | OMS36 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.