Individual
DR. KRISTOPHER PHILLIP JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MERCY CIR, OCEANSIDE, CA 92055
(760) 725-1288
Mailing address
1145 STURGIS RD, TWENTYNINE PALMS, CA 92278
(760) 830-2752
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
A157251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
06/22/2017
Last updated
07/08/2024
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