Provider Demographics
NPI:1689645525
Name:JOHNSON, CHRISTINE LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LEIGH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7300 GIRARD AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5138
Mailing Address - Country:US
Mailing Address - Phone:858-459-4351
Mailing Address - Fax:858-459-4399
Practice Address - Street 1:7300 GIRARD AVE STE 106
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5138
Practice Address - Country:US
Practice Address - Phone:858-459-4351
Practice Address - Fax:858-459-4399
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134838208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics