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Collin Johansen
Military Health Care Provider in San Diego, California
NPI 1396389334

Collin Johansen is a Military Health Care Provider based in San Diego, CA. Collin Johansen practices in San Diego, CA. The NPI Number for Collin Johansen is 1396389334 and holds a License No. (California).

The current practice location address for Collin Johansen is 4101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 469-570-8106.

Location: 4101 Farenholt Ave Bldg 14, San Diego, CA, 92134-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396389334
Provider Name
Collin Johansen
Credential
Provider Entity Type
Individual
Gender
Male
Address
4101 Farenholt Ave Bldg 14, San Diego, CA, 92134-0001
Phone Number
469-570-8106
Fax Number
Provider Enumeration Date
11/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-0001
Phone Number
469-570-8106
Fax Number
person
Provider Business Mailing Address Details
Address
4101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-0001
Phone Number
469-570-8106
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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