Individual
DR. BENJAMIN FRANKLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, #8829, SAN DIEGO, CA 92103-9001
(619) 543-8254
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A111648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A111648
LICENSE
CA
Enumeration date
09/04/2008
Last updated
10/22/2018
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