Individual
MELISSA RITA SUTOYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
624 W DUARTE RD STE 208, ARCADIA, CA 91007-7675
(626) 294-9978
Mailing address
624 W DUARTE RD STE 208, ARCADIA, CA 91007-7675
(626) 294-9978
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95035639
CA
363LG0600X
Gerontology Nurse Practitioner
95035639
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95035639
CA
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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