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Sanjaya Utama
NPI 1922408756 · on the registry since 2014
Practice
- Address
- 190 Sierra Ct Unit B # A -115
Palmdale, CA 93550 - Phone
- (661) 886-0287
- Organisation at this address
- Penny Lane
Ucfusion Rx Llc
Av Saferide Llc.
Active Life, Llc
Pure Devotion LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 121
Additional practice sites
- 4052 Portola Dr, Palmdale, CA
Registry record
- Primary taxonomy
- Driver
172A00000X
- Sex
- Male
- Record last updated
- 2018-11-05
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