Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Wayne Johnson, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1972560449

Dr. Kenneth Wayne Johnson, MD is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California, Kansas and Missouri.

Licensed in
CA, KS, MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

711 W College St Ste M88
Los Angeles, CA 90012-1163
Phone: (213) 625-8825
Fax: (213) 625-8838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence G83706 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0428328 (KS)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2006028600 (MO)

Record details

NPI number1972560449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2006
Last updated in NPPESDecember 10, 2007

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