Individual
CANDICE RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5512 E BRITTON DR, SUITE 208, LONG BEACH, CA 90815-3146
(562) 594-7100
(562) 594-8800
Mailing address
5512 E BRITTON DR, SUITE 208, LONG BEACH, CA 90815-3146
(562) 594-7100
(562) 594-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841649733
TAX IDENTIFICATION NUMBER
CA
Enumeration date
05/16/2007
Last updated
08/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us