Sandjaya Trikadibusana, MSOM/DAOM CANDIDATE

NPI 1194962076 · on the registry since 2009 · sole proprietor

Practice

Address: 1126 N Brookhurst St,
South Baylo University, 3rd Floor
Anaheim, CA 92801
Phone: (562) 866-5830
Organisation at this address: South Baylo University
South Baylo University
The Bridge To A Dream Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Acupuncturist
171100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California