Clarence Johnson
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1033945720
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1033945720
- Entity type
- Individual (NPI-1)
- Name
- Clarence Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
307 S Central AveLos Angeles, CA 90013-1709
Phone 213-372-5233
Mailing address
12070 Telegraph RdSanta Fe Springs, CA 90670-3771
Phone 562-777-7500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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