Bulk check

Dr. Sri Moedjono, M.D.

Medical Genetics, Ph.D. Medical Genetics in Torrance, CA. Individual provider (NPI-1).

NPI number1790799682
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790799682
Entity type
Individual (NPI-1)
Name
Dr. Sri Moedjono
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170100000X Medical Genetics, Ph.D. Medical GeneticsA31755CAYes

Practice location

21231 Hawthorne Blvd
Torrance, CA 90503-5501

Phone 310-792-4567 · Fax 310-316-2677

Mailing address

21231 Hawthorne Blvd
Torrance, CA 90503-5501

Phone 310-792-4567 · Fax 310-316-2677

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check