Search › California › 207V00000X
Johnnie Ham, M.D
NPI 1982687430 · on the registry since 2005
Practice
- Address
- 1677 Shell Beach Rd Ste 101
Shell Beach, CA 93449 - Phone
- (805) 201-9135
- Fax
- (805) 201-9134
- Organisation at this address
- Coastal Prestige Clinic
Coastal Prestige Medical Services, Inc
Joint Venture Central Coast Addiction Services, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 208D00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-26
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