1811168388 NPI number — NOAH JOHNSON MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811168388 NPI number — NOAH JOHNSON MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOAH JOHNSON MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811168388
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10158 BUENA VISTA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTEE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92071-4435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-562-1140
Provider Business Mailing Address Fax Number:
619-562-5362

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10158 BUENA VISTA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTEE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92071-4435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-562-1140
Provider Business Practice Location Address Fax Number:
619-562-5362
Provider Enumeration Date:
03/12/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WOOLLEY
Authorized Official First Name:
TERRI
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
619-562-1140

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  A79548 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)