SearchCaliforniaDriver

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 Llc
Inferred 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