Provider Demographics
NPI:1992837926
Name:JOHNSON, YEVA M (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:YEVA
Middle Name:M
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:375 LAGUNA HONDA BOULEVARD, MEDICAL SERVICES
Mailing Address - Street 2:LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1499
Mailing Address - Country:US
Mailing Address - Phone:415-759-3059
Mailing Address - Fax:415-759-4509
Practice Address - Street 1:375 LAGUNA HONDA BOULEVARD, MEDICAL SERVICES
Practice Address - Street 2:LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1499
Practice Address - Country:US
Practice Address - Phone:415-759-3059
Practice Address - Fax:415-759-4509
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
051110OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
051110OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER