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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GIANNI CASSIDY SUTANIMAN, DO

Active Sole Proprietor

GIANNI CASSIDY SUTANIMAN, DO is a Family Medicine healthcare provider located in LOS ANGELES, California. NPI 1588161186 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LOS ANGELES, CA

Registration Details

NPI Number
1588161186
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2018 (8.3430931086453 yrs)
Last Updated
Dec 1, 2022
License
20A18981 (CA)
Sole Proprietor
Yes

Practice Information

Address
507 S ATLANTIC BLVD
LOS ANGELES, CA, 900222621
Browse CA providers · Browse ZIP 90022
Phone
3232689191
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in LOS ANGELES, CA

Name Credential NPI
DR. RANDALL G SHUE D.O. 1679576730
DR. JAWAHAR SUNDARAM MD 1720082100
BRUCE CHOW DO 1013913441
MICHAEL JASON HALL M.D. 1396744850
MAX SHAPIRO MD 1750382552
DR. KEVIN A BROWN M.D. 1477554616
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.