Kelsey Johnson
Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669977633
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1669977633
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2018
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | A166774 | CA | Yes |
Practice location
4650 Sunset BlvdMs#94
Los Angeles, CA 90027
Phone 323-361-6177
Mailing address
4650 Sunset BlvdMs#94
Los Angeles, CA 90027
Phone 323-361-6177
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