Individual
CHAD ELIJAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7350
Mailing address
7610 HIHN RD, BEN LOMOND, CA 95005-9615
(559) 284-5244
(559) 284-5244
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95169322
CA
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
5184
CA
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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