NPI 1497935423

Russell K Johnson, CO

Practitioner Orthotist San Diego, CA

Practice location

Address: 550 Washington St STE 400, San Diego, CA 92103-2229
Phone: (619) 291-8122

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1497935423
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2007
Record last updated: 7 Nov 2007

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.