Imawati Budihardjo
Hematology & Oncology
3855 Health Sciences Dr # 0658
La Jolla
, California 92093-0987
Imawati Budihardjo
Hematology & Oncology
3855 Health Sciences Dr # 0658
La Jolla
, California 92093-0987
(858) 822-5380
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Imawati Budihardjo
- 3855 Health Sciences Drive Room 2016
- La Jolla, CA
- Zip : 92093-0698
- Fax : (858) 822-5380
- Phone : (858) 822-7916
Second Address
- Imawati Budihardjo
- 3855 Health Sciences Dr # 0658
- La Jolla, CA
- Zip : 92093-0987
- Fax : (858) 822-6186
- Phone : (858) 822-6100
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FAQs
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Is Imawati Budihardjo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | A84421 | CA |
National Provider Identifier
| NPI | 1043337173 |
|---|---|
| Provider Name | Imawati Budihardjo |
| First Address | La Jolla, CA 92093-0698 |
| Second Address | La Jolla, CA 92093-0987 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2007 |
| Last Update Date | 12/10/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.