DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PHILLIP RANDOLPH JOHNSON

MEDICARE: PHILLIP RANDOLPH JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist51943CA

General Provider Information

NPI Number : 1356450159
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP RANDOLPH JOHNSON
Provider Business Mailing Address
First Line : 823 GATEWAY CENTER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4541
Country : US
Telephone Number : 619-906-4623
Fax Number : 619-906-4564
Provider Business Practice Location Address
First Line : 5454 EL CAJON BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-3621
Country : US
Telephone Number : 619-515-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 03/17/2018

Similar Medicare Providers

1164496386 — DR. AVA LOU CARMICHAEL CHASE ARNP
Practice Location Address:
5454 EL CAJON BLVD
SAN DIEGO, CA
92115-3621
Practice Phone: 619-515-2400
Practice Fax: 619-546-9900
1407818768 — JENNIFER CHILYN LI KAUFMAN MD
Practice Location Address:
5454 EL CAJON BLVD
SAN DIEGO, CA
92115-3621
Practice Phone: 691-515-2300
Practice Fax:
1023054004 — FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Practice Location Address:
5454 EL CAJON BLVD
SAN DIEGO, CA
92115-3621
Practice Phone: 619-515-2400
Practice Fax: 619-795-2756
1528004975 — MARY ALICE ACEVEDO MD
Practice Location Address:
5454 EL CAJON BLVD
SAN DIEGO, CA
92115-3621
Practice Phone: 619-515-2400
Practice Fax:
1083648844 — SUZANNE CAMP BENTLEY NP
Practice Location Address:
5454 EL CAJON BLVD
SAN DIEGO, CA
92115-3621
Practice Phone: 619-515-2400
Practice Fax:
1134232259 — DR. KRISTIN JOY AMENT BROWNELL MD
Practice Location Address:
5454 EL CAJON BLVD
SAN DIEGO, CA
92115-3621
Practice Phone: 619-515-2400
Practice Fax:

Directions to “ PHILLIP RANDOLPH JOHNSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.