Individual
XA D. JOHNSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 W MACARTHUR BLVD, DEPARTMENT OF ANESTHESIOLOGY, OAKLAND, CA 94611-5641
(510) 752-6238
Mailing address
275 W MACARTHUR BLVD, DEPARTMENT OF ANESTHESIOLOGY, OAKLAND, CA 94611-5641
(510) 752-6238
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A98000
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A98000
CA
Other
Enumeration date
05/11/2007
Last updated
12/15/2021
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