Individual
EDWARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 CABRILLO ST BLDG 422, MONTEREY, CA 93944-3201
(831) 242-7990
(831) 242-2822
Mailing address
473 CABRILLO ST BLDG 422, MONTEREY, CA 93944-3201
(831) 242-7990
(831) 242-2822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G67344
CA
2083A0100X
Aerospace Medicine Physician
Primary
G67344
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
G67344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G67344
MEDICAL LICENSE
CA
Enumeration date
02/16/2006
Last updated
05/03/2024
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