IndividualActive
Charles Johnson, LVN
NPI 1063744571 · Licensed Practical Nurse · San Diego, CA
Provider details
- NPI number
- 1063744571
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LVN
- Sex
- Male
- Sole proprietor
- No
- License
- 300231 (NY)
Practice location
1020 Robinson Ave Apt 2
San Diego, CA 92103-4473
Phone: (619) 581-4410
Mailing address
1020 Robinson Ave Apt 2
San Diego, CA 92103-4473
Registry dates
- Enumerated
- 2010-02-08
- Last updated
- 2014-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.