Individual
JOYCE ANGELINE SUTEDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CITY BLVD W, SUITE 1400, ORANGE, CA 92868-2903
(714) 456-5616
(714) 456-8360
Mailing address
1149 MIRA MAR AVE, LONG BEACH, CA 90804-4139
(323) 819-6021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A159065
CA
Other
Enumeration date
04/03/2017
Last updated
07/01/2021
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