Provider Demographics
NPI:1598873325
Name:JOHNSON, ALAN CURTIS (MD)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:CURTIS
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 SPRUCE STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2682
Mailing Address - Country:US
Mailing Address - Phone:415-668-8900
Mailing Address - Fax:415-668-1695
Practice Address - Street 1:525 SPRUCE STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2682
Practice Address - Country:US
Practice Address - Phone:415-668-8900
Practice Address - Fax:415-668-1695
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25682208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA943327292OtherTAX ID NUMBER