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DR. SRI MOEDJONO M.D.
NPI 1790799682
Medical Genetics, Ph.D. Medical Genetics in Torrance, CA

Active since July 28, 2006
21231 HAWTHORNE BLVD, TORRANCE, CA 90503(310) 792-4567(310) 316-2677 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sri Moedjono M.d. NPPES

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

DR. SRI MOEDJONO M.D. (NPI 1790799682) is an individual medical genetics, ph.d. medical genetics provider in Torrance, California, licensed in California (A31755) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790799682
Entity TypeIndividualFemale
Primary Taxonomy170100000X
Provider Legal NameDR. SRI MOEDJONOCredential: M.D.
Location Address21231 HAWTHORNE BLVDTorrance, CA 90503-5501
Mailing Address21231 Hawthorne BlvdTorrance, CA 90503-5501 · (310) 792-4567 · Fax (310) 316-2677
Phone(310) 792-4567
Fax(310) 316-2677
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790799682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License✔ Licensed in CA · A31755
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.
21231 HAWTHORNE BLVD, Torrance, CA 90503
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Other Providers at the Same Location NPPES 5

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

DR. JUAN CARLOS AGUILA PH.D.
Psychologist (Clinical)
21231 HAWTHORNE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-1711
DR. AHOO SHARIF SAHBA M.D.
Pediatrics
21231 HAWTHORNE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 792-4734
DR. IZABELLA TERESA WENTZ PHARM.D.
Pharmacist
21231 HAWTHORNE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 543-0108
DENISE GODFREY-PINN PHD
Psychologist (Clinical Child & Adolescent)
21231 HAWTHORNE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 543-7953
DR. IRIS JOLLY JOANNA CASTILLO MENCIAS M.D.
Medical Genetics (Clinical Genetics (M.D.))
21231 HAWTHORNE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-1711

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 Sri Moedjono's NPI number?

The NPI number for Sri Moedjono is 1790799682. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Sri Moedjono located?

Sri Moedjono practices at 21231 Hawthorne Blvd, Torrance, CA 90503. The listed phone number is (310) 792-4567.

What is Sri Moedjono's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

When was this NPI record last updated?

The NPPES record for Sri Moedjono was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.