Provider Demographics
NPI:1417333485
Name:SULINDRO, ADRIAN DARRYLL (MD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:DARRYLL
Last Name:SULINDRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ADRIAN
Other - Middle Name:DARRYLL
Other - Last Name:SULINDRO-YANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3129
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:15901 HAWTHORNE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-5801
Practice Address - Country:US
Practice Address - Phone:424-360-0066
Practice Address - Fax:424-360-0077
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1602182081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine