NPI 1003141318

Clayton Gary Johnsen, DPM

Practitioner Foot & Ankle Surgery Podiatrist San Bernardino, CA

Practice location

Address: 1762 N Waterman Ave, San Bernardino, CA 92404-5130
Phone: (909) 886-3668
Fax: (909) 886-5542

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence PO60139080 (WA)

Other Podiatrist providers in California →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence E4834 (CA)

Registry record

NPI: 1003141318
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2009
Record last updated: 20 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.