Malieka Trinee Johnson
Dental Public Health Dentist - General Practice
4784 Muir Ave
San Diego
, California 92107-2218
Malieka Trinee Johnson
Dental Public Health Dentist - General Practice
4784 Muir Ave
San Diego
, California 92107-2218
(619) 518-9000
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Malieka Trinee Johnson
- Po Box 881496
- San Diego, CA
- Zip : 92168-1496
- Phone : (619) 518-9000
Second Address
- Malieka Trinee Johnson
- 4784 Muir Ave
- San Diego, CA
- Zip : 92107-2218
- Phone : (619) 518-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 61342 | CA |
| Y | 1223G0001X | General Practice | 61342 | CA |
| Y | 213EG0000X | General Practice | 61342 | CA |
National Provider Identifier
| NPI | 1003161969 |
|---|---|
| Provider Name | Malieka Trinee Johnson |
| First Address | San Diego, CA 92168-1496 |
| Second Address | San Diego, CA 92107-2218 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2012 |
| Last Update Date | 11/08/2016 |
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.