Individual
OMAR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARDMS, ARRT
Contact information
Practice address
9119 DULENE DR, LAKESIDE, CA 92040-4813
(858) 325-5408
Mailing address
9518 MISSION GORGE RD # 711741, SANTEE, CA 92071-3879
(858) 325-5408
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
96875
CA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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