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

Johanna Back, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508626797

Johanna Back, MD is a Student in an Organized Health Care Education/Training Program in Orange, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 S Manchester Ave Ste 835
Orange, CA 92868-3213
Phone: (714) 480-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence A210794 (CA)

Record details

NPI number1508626797
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address200 S Manchester Ave Ste 835, Orange, CA 92868-3213

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