Individual
DR. CHARLES P JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 LYNN RD, SUITE 201, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 374-9994
Mailing address
2220 LYNN RD, SUITE 201, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 374-9994
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C35083
CA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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