Johnson, Crystal D

Johnson, Crystal D is an sole proprietor health care provider with primary practice located at 11140 Jefferson Blvd Ste 7 , Culver City CA 90230-5522. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is her primary health care specialty. Johnson, Crystal D can be contacted via phone (310) 428-8309.

Contact Information

Primary practice address
11140 Jefferson Blvd Ste 7 Culver City CA 90230-5522
Phone: (310) 428-8309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1043823461
LBN Legal business name Johnson, Crystal D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2020
Last updated Apr 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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