Kwaichang Johnson
Community Health Worker in Lancaster, CA. Individual provider (NPI-1).
NPI number1982307971
StatusActive
Last updated in NPPESMay 2, 2025
Details
- NPI
- 1982307971
- Entity type
- Individual (NPI-1)
- Name
- Kwaichang Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- May 2, 2025
- Last updated
- May 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
415 East Avenue ILancaster, CA 93535-1916
Phone 661-522-6770
Mailing address
415 East Avenue ILancaster, CA 93535-1916
Phone 661-522-6770
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All 145 Community Health Worker providers in Lancaster · All 5,365 providers in Lancaster
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