Individual provider · Type 1 NPI

Sanjaya Satriya Utama

Driver · Palmdale, CA

NPI number 1922408756 Active

Practice location

190 Sierra Ct Unit B # A -115
Palmdale, CA 93550

Mailing address

190 Sierra Ct # B # A - 115
Palmdale, CA 93550-7607

Other practice locations

  • 4052 Portola Dr, Palmdale, CA 93551-5328 · (661) 886-0287

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1922408756

Sanjaya Satriya Utama's National Provider Identifier is 1922408756, issued on Aug 29, 2014. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Palmdale, CA. The record was last updated on Nov 5, 2018.