Sandjaya Trikadibusana MSOM/DAOM CANDIDATE

NPI 1194962076 - Acupuncturist - 171100000X

NPI Details
NPI 1194962076
Gender Male
Enumeration Date 01/14/2009
Last Updated 01/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1126 N BROOKHURST ST,
SOUTH BAYLO UNIVERSITY, 3RD FLOOR
ANAHEIM CA, 92801, US
Phone (562) 866-5830
Fax
Business Location
1126 N BROOKHURST ST,
SOUTH BAYLO UNIVERSITY, 3RD FLOOR
ANAHEIM CA, 92801, US
Phone (562) 866-5830
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC 8055
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According to our database, Dr. Sandjaya Trikadibusana MSOM/DAOM CANDIDATE NPI is 1194962076, taxonomy code is 171100000X and license number is AC 8055, license state is located at California. Sandjaya Trikadibusana MSOM/DAOM CANDIDATE physically located at 1126 N Brookhurst St,, Anaheim CA, 92801. NPI Number Sandjaya Trikadibusana MSOM/DAOM CANDIDATE has the Individual type.

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1194962076 NPI number is provided on an as is basis without warranty of any kind. 1194962076 is maintained by the National Plan & Provider Enumeration System. The contents of Sandjaya Trikadibusana MSOM/DAOM CANDIDATE are for informational purposes only.