Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Carol Theresa Johnson, RADT

Individual provider Other Technician · NPI 1699520619

Miss. Carol Theresa Johnson, RADT is an Other Technician in LA Quinta, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

79100 Ocotillo Dr
LA Quinta, CA 92253-5915
Phone: (760) 834-8418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence R1523020823 (CA)

Record details

NPI number1699520619
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024