Kurniadi, Rachel
Kurniadi, Rachel is an individual health care provider with primary practice located at 5030 Camino De La Siesta Suite 208, San Diego CA 92108-3116. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Kurniadi, Rachel can be contacted via phone (619) 260-6300.Contact Information
Primary practice address
5030 Camino De La Siesta Suite 208
San Diego CA 92108-3116
Phone: (619) 260-6300
Fax: (858) 373-2447
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A41752 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | A41752 | California |
Profile Details
NPI number | 1063664472 |
---|---|
LBN Legal business name | Kurniadi, Rachel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2008 |
Last updated | Jan 26th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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