Adiputera, Yudha Mann

Adiputera, Yudha Mann is an individual health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Adiputera, Yudha Mann can be contacted via phone (310) 390-6612.

Contact Information

Primary practice address
4760 Sepulveda Blvd Culver City CA 90230-4820
Phone: (310) 390-6612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW110428 California

Profile Details

NPI number 1275014037
LBN Legal business name Adiputera, Yudha Mann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Jun 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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