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Mrs. Rachel Kurniadi

Physical Medicine & Rehabilitation Doctor Family Doctor - Geriatric Medicine

5030 Camino De La Siesta Suite 208
San Diego , California 92108-3116

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Mrs. Rachel Kurniadi

Physical Medicine & Rehabilitation Doctor Family Doctor - Geriatric Medicine

5030 Camino De La Siesta Suite 208
San Diego , California 92108-3116

(858) 373-2447

Write a Review Save Call

Mrs. Rachel Kurniadi

Physical Medicine & Rehabilitation Doctor Family Doctor - Geriatric Medicine

5030 Camino De La Siesta Suite 208
San Diego , California 92108-3116

(858) 373-2447 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine
  • Physical Medicine & Rehabilitation Doctor

Languages spoken

  • English

Location

5030 Camino De La Siesta Suite 208 San Diego , California 92108-3116

First Address

  • Mrs. Rachel Kurniadi
  • 5030 Camino De La Siesta Suite 208
  • San Diego, CA
  • Zip : 92108-3116
  • Fax : (858) 373-2447
  • Phone : (619) 260-6300

Second Address

  • Mrs. Rachel Kurniadi
  • 5030 Camino De La Siesta Suite 208
  • San Diego, CA
  • Zip : 92108-3116
  • Fax : (858) 373-2447
  • Phone : (619) 260-6300

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FAQs


Where did Mrs. Rachel Kurniadi attend graduate school?

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Where did Mrs. Rachel Kurniadi do her residency?

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Where did Mrs. Rachel Kurniadi do her fellowship?

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Is Mrs. Rachel Kurniadi board certified?

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What type of doctor is Mrs. Rachel Kurniadi

Family Doctor - Geriatric Medicine

In what state does Mrs. Rachel Kurniadi practice in?

California

Where is Mrs. Rachel Kurniadi ’s practice located?

5030 Camino De La Siesta Suite 208 , San Diego, California, 92108-3116

What is Mrs. Rachel Kurniadi ’s gender?

Female

Is Mrs. Rachel Kurniadi a sole practitioner?

No

Is Mrs. Rachel Kurniadi accepting new patients?

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What languages does Mrs. Rachel Kurniadi speak?

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Does Mrs. Rachel Kurniadi accept insurance?

Yes, Mrs. Rachel Kurniadi accepts insurance

Does Mrs. Rachel Kurniadi offers telemedicine?

Mrs. Rachel Kurniadi has not indicated if she offers telemedicine

What is Mrs. Rachel Kurniadi ’s professional license number?

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What is Mrs. Rachel Kurniadi ’s NPI number?

1063664472

Does Mrs. Rachel Kurniadi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QG0300X Family Doctor - Geriatric Medicine A41752 CA
N 208100000X Physical Medicine & Rehabilitation Doctor A41752 CA

National Provider Identifier

NPI 1063664472
Provider Name Mrs. Rachel Kurniadi
First Address San Diego, CA 92108-3116
Second Address San Diego, CA 92108-3116
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/10/2008
Last Update Date 26/01/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
E50890 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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