| Doctor Name: | DR. JONATHAN EDWARD JOHNSON |
| NPI Number: | 1598802316 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C. |
| License Number: | DC27452 |
| Business Practice Address: | 7435 University Ave Ste 104 La Mesa, CA - 919416027 |
| Business Phone Number: | 6194643333 |
| Business Fax Number: | |
| Mailing Address: | 4726 Mount Hay Dr, SAN DIEGO |
| State: | CA |
| Postal Code: | 921173911 |
| Phone Number: | 8582785325 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DC27452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |