CRYSTAL JOHNSON

Prosthetic/Orthotic Supplier

Active Individual
NPI: 1043823461

Practice Address

11140 JEFFERSON BLVD STE 7
Culver City, CA 90230

Phone: (310) 428-8309

Specialties

Specialty Code Primary License
Specialist - Prosthetics Case Management 1744P3200X No -
Prosthetic/Orthotic Supplier 335E00000X Yes -

Frequently Asked Questions

NPI 1043823461 is the National Provider Identifier for CRYSTAL JOHNSON, a Prosthetic/Orthotic Supplier provider located in Culver City, CA. This NPI was enumerated on August 25, 2020.
CRYSTAL JOHNSON practices at 11140 JEFFERSON BLVD STE 7, Culver City, CA 90230.

Quick Facts

NPI
1043823461
Type
Individual
Enumerated
Aug 25, 2020
Last Updated
Apr 10, 2022

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