Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUDOLPH JOHNSON JR., CATC1
Active Sole ProprietorMR. RUDOLPH JOHNSON JR., CATC1 is a Substance Abuse Rehabilitation Facility healthcare provider located in SAN DIEGO, California. NPI 1124579545 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SAN DIEGO, CA
Registration Details
- NPI Number
- 1124579545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2016 (9.8603632697739 yrs)
- Last Updated
- Oct 20, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
6537 REFLECTION DR APT 105SAN DIEGO, CA, 921243111Browse CA providers · Browse ZIP 92124
- Phone
- 6197277797
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| GWENDOLYN MARIE HAMILTON | RADT1 | 1790241180 |
| JIOVANNI CARLOS SANTOS | — | 1710547583 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.