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

Dr. Sandjaya Trikadibusana, MSOM/DAOMCANDIDATE

Individual provider Acupuncturist · NPI 1194962076

Dr. Sandjaya Trikadibusana, MSOM/DAOMCANDIDATE is an Acupuncturist in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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Practice location Address checks out

1126 N Brookhurst St South Baylo University 3rd Fl
Anaheim, CA 92801
Phone: (562) 866-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC 8055 (CA)

Record details

NPI number1194962076
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOM/DAOMCANDIDATE
Sole proprietorYes
NPI enumeratedJanuary 14, 2009
Last updated in NPPESJanuary 14, 2009

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