| |
4190 Bonita Rd, Suite 104, Bonita, CA 91902-1329 | |
(619) 961-9130 | |
(619) 916-2120 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 4190 Bonita Rd, Bonita, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912313842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU2900 (California) | Primary |
237600000X | Audiologist-hearing Aid Fitter | AU2900 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
4190 Bonita Rd, Suite 104, Bonita, CA 91902-1329 Ph: (619) 961-9130 | 4190 Bonita Rd, Suite 104, Bonita, CA 91902-1329 Ph: (619) 961-9130 |
Dr. Ryan Aaron Johnson, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 4190 Bonita Rd Ste 104, Bonita, CA 91902 Phone: 619-961-9130 |