Collin Johansen is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Collin Johansen NPI is 1396389334. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA
ZIP 92134-001
Phone: (469) 570-8106
The NPI 1396389334 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/2/2019 and was last updated on 11/2/2019.