Individual provider · Type 1 NPI
Crystal D. Johnson
Prosthetic/Orthotic Supplier · Culver City, CA
Practice location
11140 Jefferson Blvd Ste 7
Culver City, CA 90230-5522
Mailing address
10736 Jefferson Blvd # 775
Culver City, CA 90230-4933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management | 1744P3200X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: 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.
Another provider at this address
About NPI 1043823461
Crystal D. Johnson's National Provider Identifier is 1043823461, issued on Aug 25, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Culver City, CA. The record was last updated on Apr 10, 2022.