Provider Demographics
NPI:1447905724
Name:JOHNSON, KAREN E (DACM)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2632 LARKIN ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-1566
Mailing Address - Country:US
Mailing Address - Phone:415-845-3045
Mailing Address - Fax:
Practice Address - Street 1:350 SANSOME ST STE 730
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-1312
Practice Address - Country:US
Practice Address - Phone:415-966-1114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19039171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist