Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpha Iscandari Sanusi, BOCPO

Individual provider Orthotist · NPI 1710534821

Alpha Iscandari Sanusi, BOCPO is an Orthotist in Riverside, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1760 Chicago Ave Ste L21
Riverside, CA 92507-2326
Phone: (626) 622-3359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence C51502 (CA)
Orthotist Taxonomy 222Z00000X · Licence C51502 (CA)

Record details

NPI number1710534821
Entity typeIndividual (Type 1)
GenderMale
Credentials BOCPO
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESAugust 22, 2019
Mailing address1760 Chicago Ave Ste L21, Riverside, CA 92507-2326

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