SearchCalifornia174400000X

Larry Johnson, C.O

NPI 1396983888 · on the registry since 2009

Practice

Address
9570 Ridgehaven Ct
Suite C
San Diego, CA 92123
Phone
(858) 278-0518
Fax
(858) 278-0323

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-22

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