Kenneth Burton Johnson
Hematology & Oncology
769 Medical Center Ct Suite 202
Chula Vista
, California 91911-6660
Kenneth Burton Johnson
Hematology & Oncology
769 Medical Center Ct Suite 202
Chula Vista
, California 91911-6660
(619) 482-8005
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Kenneth Burton Johnson
- 769 Medical Center Ct Suite 202
- Chula Vista, CA
- Zip : 91911-6660
- Fax : (619) 482-8005
- Phone : (619) 482-8430
Second Address
- Kenneth Burton Johnson
- 769 Medical Center Ct Suite 202
- Chula Vista, CA
- Zip : 91911-6660
- Fax : (619) 482-8005
- Phone : (619) 482-8430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | A79802 | CA |
National Provider Identifier
| NPI | 1063527711 |
|---|---|
| Provider Name | Kenneth Burton Johnson |
| First Address | Chula Vista, CA 91911-6660 |
| Second Address | Chula Vista, CA 91911-6660 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 19/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| GR0100450 | (05) | CA |
| I15576 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.