Healthcare Provider Details

I. General information

NPI: 1700791944
Provider Name (Legal Business Name): SYDNEY TSUTSUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11425 MOORPARK ST
STUDIO CITY CA
91602-2009
US

IV. Provider business mailing address

9730 SHOSHONE AVE
NORTHRIDGE CA
91325-1831
US

V. Phone/Fax

Practice location:
  • Phone: 310-920-8544
  • Fax:
Mailing address:
  • Phone: 818-515-9928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: