Search › California › 164X00000X
Susiati Gunawan, LVN
NPI 1598133357 · on the registry since 2015
Practice
- Address
- 2401 Venier Way
Costa Mesa, CA 92627 - Phone
- (714) 260-8386
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-10
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