Individual
RONALD M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5360 JACKSON DRIVE, STE 100, LA MESA, CA 91943
(619) 462-5900
(619) 462-9899
Mailing address
PO BOX 2507, LA MESA, CA 91943-2507
(619) 462-5900
(619) 462-9899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G19831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G19831
—
CA
Enumeration date
03/28/2007
Last updated
07/08/2007
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