MELLISRI REDJO - SETYONO D.D.S.
NPI 1598803801
Dentist - General Practice in Los Angeles, CA

Q: What is Mellisri Redjo - Setyono's NPI number?

The NPI number for Mellisri Redjo - Setyono is 1598803801. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Mellisri Redjo - Setyono's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 01, 2007

749 S UNION AVE, LOS ANGELES, CA 90017(213) 483-5616 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mellisri Redjo - Setyono D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELLISRI REDJO - SETYONO D.D.S. (NPI 1598803801) is an individual general practice provider in Los Angeles, California, licensed in California (36419) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1598803801

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMELLISRI REDJO - SETYONOCredential: D.D.S.

Location Address749 S UNION AVELos Angeles, CA 90017-2115

Mailing Address749 S Union AveLos Angeles, CA 90017-2115 · (213) 483-5616

Phone(213) 483-5616

Sole ProprietorYes

Enumeration DateFebruary 1, 2007

Last NPPES UpdateFebruary 19, 2013

✔ NPI 1598803801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 36419

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

749 S UNION AVE, Los Angeles, CA 90017

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIDIK SUHARDJO D.D.S.

Dentist (General Practice)

749 S UNION AVE
LOS ANGELES, CA 90017

Los Angeles County (213) 483-5616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mellisri Redjo - Setyono's NPI number?

The NPI number for Mellisri Redjo - Setyono is 1598803801. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Mellisri Redjo - Setyono located?

Mellisri Redjo - Setyono practices at 749 S Union Ave, Los Angeles, CA 90017. The listed phone number is (213) 483-5616.

What is Mellisri Redjo - Setyono's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mellisri Redjo - Setyono accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Mellisri Redjo - Setyono as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mellisri Redjo - Setyono was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.