Johnson, Kristopher Phillip
Johnson, Kristopher Phillip is an individual health care provider with primary practice located at 200 Mercy Cir , Oceanside CA 92055. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, Kristopher Phillip can be contacted via phone (760) 725-1288.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A157251 | California |
Profile Details
| NPI number | 1477073369 |
|---|---|
| LBN Legal business name | Johnson, Kristopher Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2017 |
| Last updated | Jul 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477073369 | NPPES |
| California | MEDICAID | VAD0000 |
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