NPI 1063744571

Charles Miller Johnson, LVN

Practitioner Licensed Practical Nurse San Diego, CA

Practice location

Address: 1020 Robinson Ave APT 2, San Diego, CA 92103-4473
Phone: (619) 581-4410

Registered specialties (2)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 300231 (NY)

Other Licensed Practical Nurse providers in California →

Licensed Vocational Nurse

Nursing Service Providers Taxonomy 164X00000X Licence VN251826 (CA)

Other Licensed Vocational Nurse providers in California →

Registry record

NPI: 1063744571
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2010
Record last updated: 3 Feb 2014

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.