# KATHRYN JOHNSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174931869
- **Authorized official:** KATHRYN JOHNSON MD (PHYSICIAN)
- **Authorized official phone:** (205) 908-0809

## Contact information

- **Practice address:** 9974 SCRIPPS RANCH BLVD, SUITE 113, SAN DIEGO, CA 92131-1825
- **Practice address phone:** (858) 939-3400
- **Mailing address:** 10261 CAMINITO AGADIR, SAN DIEGO, CA 92131-1719
- **Mailing address phone:** (205) 908-0809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 128684 | CA | Yes |

## Other

- **Enumeration date:** 07/26/2014
- **Last updated:** 07/26/2014