| Susan Johnson MD PC | |
|
7018 Fernhill Dr Malibu CA 90265-4241 | |
| (310) 497-6547 | |
| (310) 858-4129 |
| Full Name | Susan Johnson MD PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7018 Fernhill Dr, Malibu, California |
| Authorized Official Name and Position | Susan Johnson (CEO/PRESIDENT) |
| Authorized Official Contact | 3104976547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Johnson MD PC 29160 Heathercliff Rd # 4054 Malibu CA 90265-6315 Ph: (310) 497-6547 | Susan Johnson MD PC 7018 Fernhill Dr Malibu CA 90265-4241 Ph: (310) 497-6547 |
| NPI Number | 1699635623 |
|---|---|
| Provider Enumeration Date | 11/13/2025 |
| Last Update Date | 11/13/2025 |
| Certification Date | 11/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699635623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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