Kaneesha Johnson, is a
Community Health Worker based in Long Beach, California. Kaneesha Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1501 Hughes Way Ste 150, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(310) 221-6336.
NPI number for Kaneesha Johnson is 1720578552 and her current mailing address is 1501 Hughes Way Ste 150, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720578552.
Healthcare Provider's Profile
| Full Name | Kaneesha Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1501 Hughes Way Ste 150, Long Beach, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720578552
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 06/13/2023
Medical Identifiers
Medical identifiers for Kaneesha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720578552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaneesha Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kaneesha Johnson,
1501 Hughes Way Ste 150,
Long Beach, CA 90810-1878
Ph: (310) 221-6336 | Kaneesha Johnson,
1501 Hughes Way Ste 150,
Long Beach, CA 90810-1878
Ph: (310) 221-6336 |
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