Mrs. Rachel Kurniadi
Physical Medicine & Rehabilitation Doctor Family Doctor - Geriatric Medicine
5030 Camino De La Siesta Suite 208
San Diego
, California 92108-3116
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
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
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
Reviews
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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)
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.