Didik Suhardjo is a Los Angeles, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Didik Suhardjo is 48030 for General Practice Dentistry in California. His current practice location is 749 S Union Ave, Los Angeles. Patients can reach him at 213-483-5616.
Didik Suhardjo is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Didik Suhardjo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Didik Suhardjo
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
749 S Union Ave, Los Angeles, California, 90017-2115
Phone:
213-483-5616
Fax:
213-483-5633
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1427078211
NPI Enumeration Date:
21 Jul, 2006
NPI Last Update On:
14 May, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Didik Suhardjo are as mentioned below.
License Number
Specialization
State
Status
48030
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Didik Suhardjo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D48030
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
749 S Union Ave, Los Angeles, California
Zip:
90017-2115
Phone Number:
213-483-5616
Fax Number:
213-483-5633
Patients can reach Didik Suhardjo at 749 S Union Ave, Los Angeles, California or can call to book an appointment on 213-483-5616. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.