person
Mr. Stephan Lee Johnson, PA-C
Medical Physician Assistant in San Diego, California
NPI 1568799880

Stephan Lee Johnson is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Stephan Lee Johnson practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Stephan Lee Johnson is 1568799880 and holds a License No. PA16986 (California).

The current practice location address for Stephan Lee Johnson is 4060 Fairmount Ave, San Diego, CA and can be reached out via phone at 619-280-4213 and via fax at 619-280-3545.

Location: 4060 Fairmount Ave, San Diego, CA, 92105-1608
person
Provider Profile Details
NPI Number
1568799880
Provider Name
Stephan Lee Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4060 Fairmount Ave, San Diego, CA, 92105-1608
Phone Number
619-280-4213
Fax Number
619-280-3545
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4060 Fairmount Ave
City
State
Zip
92105-1608
Phone Number
619-280-4213
Fax Number
619-280-3545
person
Provider Business Mailing Address Details
Address
4060 Fairmount Ave
City
State
Zip
92105-1608
Phone Number
619-280-4213
Fax Number
619-280-3545
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16986 (California)
Definition
Definition to come...
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