Hardy Surjanto

NPI 1356889448 · on the registry since 2017

Practice

Address: 19300 Rinaldi St
Suite I
Northridge, CA 91326
Phone: (866) 407-7717
Organisation at this address: Barack H. Obama
Nshan D Dekeyan Dpm
Dual Diagnosis Assesment And Treatment Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-08

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