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Search › California › 363LA2100X

Trysari Sudiro

NPI 1396432399 · on the registry since 2023 · sole proprietor

Practice

Address
2810 Long Beach Blvd
Long Beach, CA 90806
Phone
(626) 709-7802
Organisation at this address
Long Beach Memorial Medical
Breast Imaging Radiologists, A Medical Group, Inc.
Ob/Gyn University Associates - Todd Cancer Institute Pavilion Long Bea
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-26

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