Johnson, Kristopher Phillip

Johnson, Kristopher Phillip is an individual health care provider with primary practice located at 200 Mercy Cir , Oceanside CA 92055. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, Kristopher Phillip can be contacted via phone (760) 725-1288.

Contact Information

Primary practice address
200 Mercy Cir Oceanside CA 92055
Phone: (760) 725-1288
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A157251 California

Profile Details

NPI number 1477073369
LBN Legal business name Johnson, Kristopher Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Jul 8th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477073369 NPPES
California MEDICAID VAD0000

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