Individual
DR. JONATHAN EDWARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7435 UNIVERSITY AVE STE 104, LA MESA, CA 91941-6027
(619) 464-3333
Mailing address
4726 MOUNT HAY DR, SAN DIEGO, CA 92117-3911
(858) 278-5325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DC27452
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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