Dr. Sri Moedjono
Medical Geneticist
21231 Hawthorne Blvd
Torrance
, California 90503-5501
Dr. Sri Moedjono
Medical Geneticist
21231 Hawthorne Blvd
Torrance
, California 90503-5501
(310) 316-2677
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Sri Moedjono
- 21231 Hawthorne Blvd
- Torrance, CA
- Zip : 90503-5501
- Fax : (310) 316-2677
- Phone : (310) 792-4567
Second Address
- Dr. Sri Moedjono
- 21231 Hawthorne Blvd
- Torrance, CA
- Zip : 90503-5501
- Fax : (310) 316-2677
- Phone : (310) 792-4567
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FAQs
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Is Dr. Sri Moedjono a sole practitioner?
Is Dr. Sri Moedjono accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | A31755 | CA |
National Provider Identifier
| NPI | 1790799682 |
|---|---|
| Provider Name | Dr. Sri Moedjono |
| First Address | Torrance, CA 90503-5501 |
| Second Address | Torrance, CA 90503-5501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.