Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUSIANA KARTAWIDJAJA, M.D.
ActiveDR. LUSIANA KARTAWIDJAJA, M.D. is a Family Medicine healthcare provider located in SAN BERNARDINO, California. NPI 1952536625 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1952536625
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2009 (17.244014227261 yrs)
- Last Updated
- Dec 2, 2021
- License
-
A105710 (CA)
Practice Information
- Address
-
1717 E DATE PLSAN BERNARDINO, CA, 924044428Browse CA providers · Browse ZIP 92404
- Phone
- 8887500036
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH SCOTT RUSSO | D.O. | 1891791786 |
| PHUC TUAN HUYNH | D.O. | 1922005602 |
| DR. JUAN VELASQUEZ | M.D. | 1770585192 |
| JUNA TSAO | M.D. | 1497747232 |
| DR. BOLANLE TOKUNBO OYEYIPO-AJUMOBI | MD | 1821084054 |
| DR. LUISITO DELEON FRANCISCO | MD | 1205806775 |
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.