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YUDHA MANN ADIPUTERA

Individual Provider (NPI-1) Active

Social Worker

Provider Information

NPI Number
1275014037
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
4760 SEPULVEDA BLVD, CULVER CITY, CA, 902304820
Phone
(310) 390-6612

Specialties & Taxonomies

Social Worker Primary License: CA #ASW110428

All Addresses

MAILING

2000 E 4TH ST STE 201

SANTA ANA, CA, 927053907

(714) 547-0885

LOCATION

4760 SEPULVEDA BLVD

CULVER CITY, CA, 902304820

(310) 390-6612