Individual provider · Type 1 NPI

Tarathya Bunga Dharmasaputra, MD

Pediatrics Physician · Victorville, CA

NPI number 1093387672 Active

Practice location

15237 Eleventh St Ste A
Victorville, CA 92395-3736

Fax (760) 513-9000

Other practice locations

  • 760 Broadway Dept Of, Brooklyn, NY 11206-5317 · (718) 963-7956

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XA195428 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

4 other providers at this address

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About NPI 1093387672

Tarathya Bunga Dharmasaputra, MD's National Provider Identifier is 1093387672, issued on Jul 13, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Victorville, CA. The record was last updated on Sep 8, 2025.