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Johanes Ismawan, M.D

NPI 1326275975 · on the registry since 2009

Practice

Address
Naval Medical Center San Diego 34800 Bob Wilson Dr
San Diego, CA 92134
Phone
(619) 385-3683
Clinicians at this address
92

Additional practice sites

  • Bldg H 2005 Knight Lane, Jacksonville, FL

Registry record

Primary taxonomy
Anesthesiology Physician
207L00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-06
Status
Not present in the most recent federal file

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