Organization
WHAT THE BLUSH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL JOHNSON (OWNER)
(310) 428-8309
Entity
Organization
Contact information
Practice address
11140 JEFFERSON BLVD STE 7, CULVER CITY, CA 90230-5522
(310) 428-8309
Mailing address
10736 JEFFERSON BLVD # 775, CULVER CITY, CA 90230-4933
(310) 428-8309
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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