Kusumo Sumardi is a La Verne, 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 Kusumo Sumardi is
41680 for General Practice Dentistry in California. His current practice location is
1965 Foothill Blvd, Suite L, La Verne. Patients can reach him at
909-596-6500.
Kusumo Sumardi 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:
Kusumo Sumardi 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: | Kusumo Sumardi |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1965 Foothill Blvd, Suite L, La Verne,
California, 91750-3502 |
| Phone: | 909-596-6500 |
| Fax: | 909-596-8809 |
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: | 1811037435 |
| NPI Enumeration Date: | 06 Feb, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kusumo Sumardi are as mentioned below.
| License Number | Specialization | State | Status | |
| 41680 | General Practice Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3870 Grand Ave,
Claremont, California |
| Zip: | 91711-1454 |
| Phone Number: | 909-621-9088 |
Patients can reach Kusumo Sumardi at
1965 Foothill Blvd, Suite L, La Verne, California or can
call to book an appointment on 909-596-6500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.