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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTIARSI RUDITO, MD

Active Sole Proprietor

DR. KRISTIARSI RUDITO, MD is a Allergy & Immunology healthcare provider located in RIVERSIDE, California. NPI 1720142359 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · RIVERSIDE, CA

Registration Details

NPI Number
1720142359
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2006 (19.502962642081 yrs)
Last Updated
Aug 16, 2007
License
A75290 (CA)
Sole Proprietor
Yes

Practice Information

Address
10800 MAGNOLIA AVE
RIVERSIDE, CA, 925053043
Browse CA providers · Browse ZIP 92505
Phone
9513535569
Primary Specialty
Allergy & Immunology
207K00000X

Other Allergy & Immunology Providers in RIVERSIDE, CA

Name Credential NPI
WILLIAM B CHERRY M.D. 1366429730
PURVEE S SHAH MD 1629105929
VINITHA DAS MD 1811217300
KAMRAN HUSSAIN IMAM MD 1013495431
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.