Yeni Sutanto in Van Nuys - General Practice

Yeni Sutanto - NPI 1508876277

Yeni Sutanto is a General Practice in Van Nuys, California. Yeni Sutanto practices all healthcare services and medical treatments related to General Practice. The NPI Number for Yeni Sutanto is 1508876277. The last update date is 2007-07-08.

Yeni Sutanto's current location address is 6931 Van Nuys Blvd, Van Nuys, California. You can contact this provider via phone number 8189888080 and fax number 8189888168. The mailing address for Yeni Sutanto is 6931 Van Nuys Blvd, Van Nuys, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Yeni Sutanto
Address 6931 Van Nuys Blvd, Van Nuys, California
Phone Number 8189888080
Fax Number 8189888168
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1508876277
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6931 Van Nuys Blvd
City Van Nuys
State California (CA)
Post Code 914053937
Phone Number 8189888080
Fax Number 8189888168

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 39212
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Yeni Sutanto

What is the unique identifier code issued to Yeni Sutanto by the Centers for Medicare & Medicaid Services?

The Yeni Sutanto has been assigned the NPI (National Provider Identifier) 1508876277. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Yeni Sutanto is located?

The Yeni Sutanto is situated at the following address: 6931 Van Nuys Blvd, Van Nuys, CA, 914053937.

What is the area of specialization for Yeni Sutanto, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Yeni Sutanto is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When was the Yeni Sutanto's 1508876277 issued?

The Yeni Sutanto's 1508876277 was issued on 2006-08-08.

When was the information regarding Yeni Sutanto, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Yeni Sutanto, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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