DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTISON BROOKE JOHNSON I, LVN

Active Sole Proprietor

MATTISON BROOKE JOHNSON I, LVN is a Podiatric Surgery healthcare provider located in LA MESA, California. NPI 1710535687 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · LA MESA, CA

Registration Details

NPI Number
1710535687
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2019 (6.9681020941241 yrs)
Last Updated
Feb 25, 2020
License
696096 (CA)
Sole Proprietor
Yes

Practice Information

Address
8615 FLETCHER PKWY UNIT 406
LA MESA, CA, 919425205
Browse CA providers · Browse ZIP 91942
Phone
2095706823
Primary Specialty
Podiatric Surgery
3747A0650X
Additional Specialty
Podiatric Surgery

Other Podiatric Surgery Providers in LA MESA, CA

Name Credential NPI
MS. IRMA MONTEGNA 1023669199
MORGAN BRIAN MCELWEE-DUHAMEL 1659915312
ROGELIA FLORES-QUEZADA 1376176206
BRENDA CARMEN RAZOUKI 1366031106
ROXANNA RENEE BARBEE 1629793690
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.