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Individual

JAMES AVERY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8660 SUNRISE LN, LA MESA, CA 91941-5534
(619) 460-6875
(619) 460-4047
Mailing address
8660 SUNRISE LN, LA MESA, CA 91941-5534
(619) 460-6875
(619) 460-4047

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G21631
CA

Other

Enumeration date
03/29/2010
Last updated
03/29/2010
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