Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Conny Tirtaman-Sie, MD

Individual provider Internal Medicine Physician · NPI 1043306947

Dr. Conny Tirtaman-Sie, MD is an Internal Medicine Physician in Loma Linda, California. Licensed in California, Florida and Washington. Registered with an NPI since 2006.

Licensed in
CA, FL, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Fax: (909) 583-6726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C52357 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD00040886 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME0083971 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence C52357 (CA)

Record details

NPI number1043306947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESSeptember 11, 2025

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