Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREYANDRA LUCIA IMANSJAH, DO
Active Sole ProprietorAUDREYANDRA LUCIA IMANSJAH, DO is a Family Medicine healthcare provider located in SAN RAMON, California. NPI 1710481858 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAN RAMON, CA
Registration Details
- NPI Number
- 1710481858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2018 (8.3950863353472 yrs)
- Last Updated
- Apr 21, 2022
- License
-
17597 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2300 CAMINO RAMONSAN RAMON, CA, 945831354Browse CA providers · Browse ZIP 94583
- Phone
- 9252447400
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAN RAMON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SABA HAQ | MD | 1669460085 |
| DR. ALFRED EUAIK TAN | M.D. | 1962465955 |
| DR. SHAWNDRA CATHERINE PARISE | M.D. | 1720046287 |
| DR. RALPH FONG JR. | M.D. | 1447290994 |
| MS. JOLANTA M OMSKI | MD | 1881635688 |
| DR. ETHAN D HOLLANDER | M.D. | 1528003597 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.