CONNY TIRTAMAN-SIE

LOMA LINDA, CA
NPI1043306947
Former NameCONNY TIRTAMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  MD00040886)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  ME0083971)
207R00000X Internal Medicine
(Licence: CA  C52357)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA  C52357)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Dr. CONNY TIRTAMAN-SIE M.D
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
Dr. CONNY TIRTAMAN-SIE M.D
PO BOX 1576
LOMA LINDA, CA 92354-1576
Phone number: 909-825-7084