IndividualActive
Carl Johnson, M.D.
NPI 1487679684 · Anatomic Pathology Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1487679684
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A33572 (CA)
Practice location
24 Las Praderas Dr
San Luis Obispo, CA 93401-7410
Phone: (805) 544-7832
Mailing address
Po Box 959
Templeton, CA 93465-0959
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.