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VIVIAN TANUDJAJA
NPI 1831692086
Specialist/Technologist - Athletic Trainer in Long Beach, CA

Active since March 14, 2018
6481 ATLANTIC AVE APT 135, LONG BEACH, CA 90805(562) 612-5696 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vivian Tanudjaja NPPES

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

VIVIAN TANUDJAJA (NPI 1831692086) is an individual athletic trainer provider in Long Beach, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1831692086
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameVIVIAN TANUDJAJA
Location Address6481 ATLANTIC AVE APT 135Long Beach, CA 90805-2339
Mailing Address6481 Atlantic Ave Apt 135Long Beach, CA 90805-2339 · (562) 612-5696
Phone(562) 612-5696
Sole ProprietorYes
Enumeration DateMarch 14, 2018
✔ NPI 1831692086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
6481 ATLANTIC AVE APT 135, Long Beach, CA 90805
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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 Vivian Tanudjaja's NPI number?

The NPI number for Vivian Tanudjaja is 1831692086. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Vivian Tanudjaja located?

Vivian Tanudjaja practices at 6481 Atlantic Ave Apt 135, Long Beach, CA 90805. The listed phone number is (562) 612-5696.

What is Vivian Tanudjaja's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Vivian Tanudjaja was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.