Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 24250 | CA |
NPI | 1235295437 |
---|---|
Provider Name | Dr. Hiroko Mori Johnstone |
First Address | San Jose, CA 95130-1750 |
Second Address | San Jose, CA 95130-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 08/07/2007 |