Mr. Larry Wayne Johnson, CO
Mr. Larry Wayne Johnson, CO is a Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
9570 Ridgehaven Ct Ste CSan Diego, CA 92123-1667
Phone: (858) 278-0518
Fax: (858) 278-0323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence CO2834 (CA) |
|---|
Record details
| NPI number | 1396983888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO |
| Sole proprietor | No |
| NPI enumerated | January 22, 2009 |
| Last updated in NPPES | January 22, 2009 |
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