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Dr. Sri Moedjono, MD
Ph.D. Medical Genetics in Torrance, California
NPI 1790799682

Sri Moedjono is a Ph.D. Medical Genetics based in Torrance, CA. Sri Moedjono practices in Torrance, CA and has the professional credentials of MD. The NPI Number for Sri Moedjono is 1790799682 and holds a License No. A31755 (California).

The current practice location address for Sri Moedjono is 21231 Hawthorne Blvd, Torrance, CA and can be reached out via phone at 310-792-4567 and via fax at 310-316-2677.

Location: 21231 Hawthorne Blvd, Torrance, CA, 90503-5501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790799682
Provider Name
Sri Moedjono
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
21231 Hawthorne Blvd, Torrance, CA, 90503-5501
Phone Number
310-792-4567
Fax Number
310-316-2677
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21231 Hawthorne Blvd
City
Torrance
State
California
Zip
90503-5501
Phone Number
310-792-4567
Fax Number
310-316-2677
person
Provider Business Mailing Address Details
Address
21231 Hawthorne Blvd
City
Torrance
State
California
Zip
90503-5501
Phone Number
310-792-4567
Fax Number
310-316-2677
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Medical Genetics, Ph.D. Medical Genetics
Speciality
-
Taxonomy
170100000X
License No.
A31755 (California)
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
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