| Johnny Douglas, | |
|
222 N Acacia Ave, Solana Beach, CA 92075-1106 | |
| (760) 529-7679 | |
| Not Available |
| Full Name | Johnny Douglas |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 222 N Acacia Ave, Solana Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134669906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 19564 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Douglas, 222 N Acacia Ave, Solana Beach, CA 92075-1106 Ph: (760) 529-7679 | Johnny Douglas, 222 N Acacia Ave, Solana Beach, CA 92075-1106 Ph: (760) 529-7679 |
Mrs. Kelly Brett, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: Ste 300, 312 S Cedros Ave, Solana Beach, CA 92075 Phone: 858-877-1574 | |
Cory Harris, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 634 Stevens Ave, Solana Beach, CA 92075 Phone: 858-350-6290 Fax: 858-350-6775 |