Mellisri Redjo - Setyono is a Los Angeles, California based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mellisri Redjo - Setyono is
36419 for General Practice Dentistry in California. Her current practice location is
749 S Union Ave, Los Angeles. Patients can reach her at
213-483-5616.
Mellisri Redjo - Setyono is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mellisri Redjo - Setyono 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: | Mellisri Redjo - Setyono |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 749 S Union Ave, Los Angeles,
California, 90017-2115 |
| Phone: | 213-483-5616 |
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: | 1598803801 |
| NPI Enumeration Date: | 01 Feb, 2007 |
| NPI Last Update On: | 19 Feb, 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 Mellisri Redjo - Setyono are as mentioned below.
| License Number | Specialization | State | Status | |
| 36419 | 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: | 749 S Union Ave,
Los Angeles, California |
| Zip: | 90017-2115 |
| Phone Number: | 213-483-5616 |
Patients can reach Mellisri Redjo - Setyono at
749 S Union Ave, Los Angeles, California or can
call to book an appointment on 213-483-5616.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.