Individual
DAVID SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49305 GRAPEFRUIT BLVD STE 1, COACHELLA, CA 92236-1490
(760) 398-0723
Mailing address
31938 TEMECULA PKWY STE A337, TEMECULA, CA 92592-6810
(760) 398-0723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12949
HI
208600000X
Surgery Physician
Primary
A88275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88275
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
10/03/2006
Last updated
09/25/2023
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