Individual
DR. NATALIE MAYA SARDJONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2810 LONG BEACH BLVD FL 2, LONG BEACH, CA 90806-1558
(562) 933-7880
Mailing address
12665 VILLAGE LN APT 3327, PLAYA VISTA, CA 90094-2847
(562) 933-7880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A130725
CA
Other
Enumeration date
05/18/2010
Last updated
11/05/2019
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