SearchCalifornia183500000X

Johni Ballout

NPI 1881150944 · on the registry since 2019

Practice

Address
313 Washington St
San Diego, CA 92103
Phone
(619) 291-7170
Organisation at this address
Garfield Beach Cvs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-13

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