Physician Profile

Sydney Kusumoputro, MD

Unclaimed Profile

About Dr. Kusumoputro

Sydney Kusumoputro, MD is listed as a student in an organized health care education program in Los Angeles, CA. This provider record is associated with NPI 1770384158.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

CA · Postgraduate Training LicenseMedical Board of California
No. 19040CurrentExpires Sep 2028Since 2025
NPINational Provider Identifier
1770384158Issued 2025

Snapshot · verify with the board ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dr. Kusumoputro?

Dr. Kusumoputro is a medical trainee in Los Angeles, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Student in an Organized Health Care Education Program”.

NPI registry

What is Dr. Kusumoputro's address?

Dr. Kusumoputro is listed at 1200 N State St Ste A7D, Los Angeles, CA 90089. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Kusumoputro?

The number on file is (323) 409-7556. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Kusumoputro's NPI number?

Dr. Kusumoputro's National Provider Identifier is 1770384158. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Kusumoputro been practicing?

Dr. Kusumoputro has 1+ years experience. Registered with an NPI since 2025. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Kusumoputro confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Kusumoputro. If this is you, claiming it is free.

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