IndividualActive
Trevor Johnson, OTC
NPI 1609102698 · Surgical Assistant · Encinitas, CA
Provider details
- NPI number
- 1609102698
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- OTC
- Sex
- Male
- Sole proprietor
- No
- License
- OTC 09-0802
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
320 Santa Fe Dr Ste 301
Encinitas, CA 92024-5140
Phone: (760) 633-4700
Fax: (760) 635-4344
Approximate (ZIP-level) locationGet directions
Mailing address
6619 Bell Bluff Ave
San Diego, CA 92119-1148
Registry dates
- Enumerated
- 2009-10-26
- Last updated
- 2009-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.