Individual
DR. JAY AUSTIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1595 SOQUEL DR, SUITE 220, SANTA CRUZ, CA 95065-1719
(831) 464-3801
(831) 464-2737
Mailing address
1595 SOQUEL DR, SUITE 220, SANTA CRUZ, CA 95065-1719
(831) 464-3801
(831) 464-2737
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G73261
CA
Other
Enumeration date
02/20/2007
Last updated
04/20/2017
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