Individual
MR. JEFFREY L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR., SAN DIEGO, CA 92161-0001
(858) 642-3300
Mailing address
2257 TOKALON ST, SAN DIEGO, CA 92110-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2021
CA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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