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

Individual provider Health Educator · NPI 1639415235

Mr. Waverly Johnson II is a Health Educator in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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Practice location Address checks out

1726 E 117th St
Los Angeles, CA 90059
Phone: (323) 566-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X (CA)

Record details

NPI number1639415235
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012

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