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Crystal D Johnson
Prosthetic/Orthotic Supplier in Culver City, California
NPI 1043823461

Crystal D Johnson is a Prosthetic/Orthotic Supplier based in Culver City, CA. Crystal D Johnson practices in Culver City, CA. The NPI Number for Crystal D Johnson is 1043823461 and holds a License No. (California).

The current practice location address for Crystal D Johnson is 11140 Jefferson Blvd Ste 7, Culver City, CA and can be reached out via phone at 310-428-8309.

Location: 11140 Jefferson Blvd Ste 7, Culver City, CA, 90230-4933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043823461
Provider Name
Crystal D Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11140 Jefferson Blvd Ste 7, Culver City, CA, 90230-4933
Phone Number
310-428-8309
Fax Number
Provider Enumeration Date
08/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11140 Jefferson Blvd Ste 7
City
Culver City
State
California
Zip
90230-5522
Phone Number
310-428-8309
Fax Number
person
Provider Business Mailing Address Details
Address
11140 Jefferson Blvd Ste 7
City
Culver City
State
California
Zip
90230-5522
Phone Number
310-428-8309
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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