Individual
DR. SRI MOEDJONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21231 HAWTHORNE BLVD, TORRANCE, CA 90503-5501
(310) 792-4567
(310) 316-2677
Mailing address
21231 HAWTHORNE BLVD, TORRANCE, CA 90503-5501
(310) 792-4567
(310) 316-2677
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
A31755
CA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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