Individual
DAVID SIDNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
751 S BASCOM AVE, PSYCHIATRY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-6100
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A65870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A658700
—
CA
Enumeration date
04/14/2006
Last updated
12/20/2021
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