Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TJAHJADI ANDY KUSUMO, DDS
Active Sole ProprietorDR. TJAHJADI ANDY KUSUMO, DDS is a General Dentistry healthcare provider located in ANAHEIM, California. NPI 1245366020 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ANAHEIM, CA
Registration Details
- NPI Number
- 1245366020
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.477237573122 yrs)
- Last Updated
- Aug 15, 2025
- License
-
49917 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 N BROOKHURST ST STE 100ANAHEIM, CA, 928015202Browse CA providers · Browse ZIP 92801
- Phone
- 7143928283
- Fax
- 8884983823
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ANAHEIM, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RAYMOND MAN-SHU CHAN | D.D.S. | 1841293578 |
| DR. JERRY DAVID MINSKY | D.D.S. | 1184628539 |
| DR. JAMES STEPHEN HARTMANN | DDS | 1407853708 |
| DR. LAURA LEON | D.D.S. | 1114925690 |
| DR. VINOD G. RANA | DDS | 1255330197 |
| DR. STEVEN GOODMAN | DDS | 1578552816 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.