Raymon Tyler Johnson, DC | |
83 Via Pico Plz, San Clemente, CA 92672-3998 | |
(949) 436-6440 | |
Not Available |
Full Name | Raymon Tyler Johnson |
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Gender | Male |
Speciality | Chiropractic |
Experience | 17 Years |
Location | 83 Via Pico Plz, San Clemente, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639359763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | DC30699 (California) | Secondary |
111N00000X | Chiropractor | DC 30699 (California) | Primary |
Provider Name | R Tyler Johnson Chiropractic Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588083489 PECOS PAC ID: 5890011415 Enrollment ID: O20150225002464 |
Mailing Address | Practice Location Address |
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Raymon Tyler Johnson, DC 83 Via Pico Plz, San Clemente, CA 92672-3998 Ph: (949) 436-6440 | Raymon Tyler Johnson, DC 83 Via Pico Plz, San Clemente, CA 92672-3998 Ph: (949) 436-6440 |
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