Organization
JAY A JOHNSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A JOHNSONMD MD (PRESIDENT)
(831) 464-3801
Entity
Organization
Contact information
Practice address
1667 DOMINICAN WAY STE 230, SANTA CRUZ, CA 95065-1518
(831) 464-3801
Mailing address
1667 DOMINICAN WAY STE 230, SANTA CRUZ, CA 95065-1518
(831) 464-3801
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G73261
CA
Other
Enumeration date
07/30/2007
Last updated
11/18/2010
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