Johnson, Mahtob Mae

Johnson, Mahtob Mae is an individual health care provider with primary practice located at 34101 Farenholt Ave , San Diego CA 92134-7000. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Johnson, Mahtob Mae can be contacted via phone (619) 532-9457.

Contact Information

Primary practice address
34101 Farenholt Ave San Diego CA 92134-7000
Phone: (619) 532-9457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1962798553
LBN Legal business name Johnson, Mahtob Mae
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 13 years 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.

Request for update

Popular Providers