Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | A160218 | CA |
N | 2081P2900X | Pain Medicine | A160218 | CA |
NPI | 1417333485 |
---|---|
Provider Name | Adrian Darryll Sulindro |
First Address | Torrance, CA 90510-3129 |
Second Address | Lawndale, CA 90260-5801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2015 |
Last Update Date | 28/07/2020 |