Individual
ROBERT RYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CASA ST STE C, SAN LUIS OBISPO, CA 93405-8804
(805) 541-1932
(805) 541-1653
Mailing address
100 CASA ST STE C, SAN LUIS OBISPO, CA 93405-8804
(805) 541-1932
(805) 541-1653
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
A121032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598942781
—
CA
Enumeration date
01/30/2008
Last updated
10/21/2022
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