Provider Demographics
NPI:1275796781
Name:JOHNSON, JAMES HARLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HARLAN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2102 BUSINESS CENTER DRIVE
Mailing Address - Street 2:SUITE 154
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1001
Mailing Address - Country:US
Mailing Address - Phone:949-253-5770
Mailing Address - Fax:949-253-5769
Practice Address - Street 1:2102 BUSINESS CENTER DRIVE
Practice Address - Street 2:SUITE 154
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1001
Practice Address - Country:US
Practice Address - Phone:949-253-5770
Practice Address - Fax:949-253-5769
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG76132207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology