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Search › California › 373H00000X

Sayudharista Sumantri

NPI 1568260727 · on the registry since 2025

Practice

Address
3303 N Broadway Fl 4
Los Angeles, CA 90031
Phone
(213) 308-4467
Organisation at this address
County Of Los Angeles
Western Dental Services, Inc.
Los Angeles County Department Of Mental Health
Los Angeles County Department Of Mental Health
Los Angeles County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Registry record

Primary taxonomy
373H00000X
373H00000X
Also registered as
172V00000X
Sex
Male
Record last updated
2026-02-26

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