| Stancil E.d. Johnson, M.d, A Professional Corporation | |
|
Junipero St Btwn 4th & 5th St Suite 4 Carmel CA 93920 | |
| (831) 625-2626 | |
| (831) 625-1245 |
| Full Name | Stancil E.d. Johnson, M.d, A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | Junipero St Btwn 4th & 5th St, Carmel, California |
| Authorized Official Name and Position | Stancil E.d. Johnson (DOCTOR, M.D.) |
| Authorized Official Contact | 8316252626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stancil E.d. Johnson, M.d, A Professional Corporation P.o. Box 5396 Carmel Post Office Carmel CA 93921 Ph: (831) 625-2626 | Stancil E.d. Johnson, M.d, A Professional Corporation Junipero St Btwn 4th & 5th St Suite 4 Carmel CA 93920 Ph: (831) 625-2626 |
| NPI Number | 1598039505 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598039505 | NPI | - | NPPES |
| C289350CA | Other | CA | MC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C28935 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C289350-CA (California) | Primary |
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