Individual
BOB J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9550 BLACK MOUNTAIN RD STE E, SAN DIEGO, CA 92126-4577
(858) 578-5776
Mailing address
10770 BLACK MOUNTAIN RD SPC 277, SAN DIEGO, CA 92126-2951
(858) 863-6419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17721
CA
Other
Enumeration date
07/27/2006
Last updated
04/11/2023
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