Stacy K Johnston
Medical Specialty
Professional ID
- NPI: 1063569135
- PECOS ID: 1153395298
- Enrollment ID: I20040824000570
- Credential(MD, DO, DPM): CP
- Medical School:
- Medical School Graduation Year: 1998
Location
- Address1: 501 W Broadway
- Address2: Suite 800
- City: San Diego
- State: California
- Zip Code: 92101
- Phone Number: (619)778-7215
Medical Practices
- Organization Name: Southern California Psychology Centers Apc
- Group Practice ID assigned by PECOS: 6406170653
- Number of Group Practice member: 5
Location
- Address1: 8775 Aero Dr
- Address2: Suite 238
- City: San Diego
- State: California
- Zip Code: 92123
- Phone Number: (619)804-9584
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):