DR. Ridwan Sudirgo D.D.S

  • NPI 1811037443
According to our database, the NPI number for DR. Ridwan Sudirgo D.D.S is 1811037443 and activated since 17 years ago. DR. Ridwan Sudirgo D.D.S is an individual provider who specializes in General Practice, and the primary practice location is 2218 W Beverly Blvd, Montebello, CA 90640. You can also contact DR. Ridwan Sudirgo D.D.S via telephone number is (323) 721-6221. Provider NPI information was last updated on 07/09/2007.

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Overview of DR. Ridwan Sudirgo D.D.S

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/06/2007
  • Last updated: 07/09/2007

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 36010
  • License State: CA

Provider Mailing Address

  • Address: Po Box 3066
    Montebello, CA 90640
  • Phone: 323-721-6221
  • Fax: 323-721-8641

Provider Practice Location

  • Address: 2218 W Beverly Blvd
    Montebello, CA 90640
  • Phone: 323-721-6221
  • Fax: 323-721-8641

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 36010
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: B 36010-01
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Ridwan Sudirgo D.D.S?
  • A: The npi number for DR. Ridwan Sudirgo D.D.S is 1811037443.
  • Q: What are DR. Ridwan Sudirgo D.D.S's specialties?
  • A: DR. Ridwan Sudirgo D.D.S's specialties are General Practice and different specialities.
  • Q: What is the medical license for DR. Ridwan Sudirgo D.D.S?
  • A: The medical license number for DR. Ridwan Sudirgo D.D.S is 36010 and issued in CA in USA.
  • Q: Where is DR. Ridwan Sudirgo D.D.S practice location?
  • A: DR. Ridwan Sudirgo D.D.S is practicing at 2218 W Beverly Blvd, Montebello, CA 90640.
  • Q: How to contact DR. Ridwan Sudirgo D.D.S?
  • A: You can contact DR. Ridwan Sudirgo D.D.S via 323-721-6221.