Individual
BRADLEY M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
351 HITCHCOCK WAY, B120, SANTA BARBARA, CA 93105-4016
(805) 685-8400
(805) 569-2121
Mailing address
351 HITCHCOCK WAY, # B120, SANTA BARBARA, CA 93105-4016
(805) 685-8400
(805) 569-2121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0198580
BLUE SHIELD
CA
01
—
DC19858
CHIROPRACTIC LICENSE
—
Enumeration date
10/06/2006
Last updated
01/24/2017
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