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

Mutiara Swissha Sukantri

Individual provider Licensed Vocational Nurse · NPI 1518827864

Mutiara Swissha Sukantri is a Licensed Vocational Nurse in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1774 Zonal Ave Bldg C
Los Angeles, CA 90033-1064
Phone: (310) 221-6336
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 751279 (CA)

Record details

NPI number1518827864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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