Individual
STEVEN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
628 CALIFORNIA BLVD, STE C, SAN LUIS OBISPO, CA 93401
(805) 547-2090
(805) 547-2095
Mailing address
628 CALIFORNIA BLVD, STE C, SAN LUIS OBISPO, CA 93401
(805) 547-2090
(805) 547-2095
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A38558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A385580
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A385580
—
CA
Enumeration date
08/04/2006
Last updated
12/08/2009
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