Individual provider · Type 1 NPI

Gina Randazzo Johnson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Long Beach, CA

NPI number 1952700643 Active

Practice location

5479 E Abbeyfield St Ste 1
Long Beach, CA 90815-3050

Mailing address

1821 Pullman Ln Unit A
Redondo Beach, CA 90278-4123

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X63555 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1952700643

Gina Randazzo Johnson, DDS's National Provider Identifier is 1952700643, issued on Aug 19, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Long Beach, CA. The record was last updated on Sep 20, 2022.