Search › California › 101YA0400X
Johnny Henderson
NPI 1154207843 · on the registry since 2025 · sole proprietor
Practice
- Address
- 134 Picnic Ave
San Rafael, CA 94901 - Phone
- (415) 410-9388
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California