Individual
DR. ANGGA SMARADIKA RAHADYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2601 E CHAPMAN AVE STE 111, FULLERTON, CA 92831-3737
(949) 293-6249
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
154558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154558
BOARD OF BEHAVIORAL SCIENCES - CALIFORNIA
CA
Enumeration date
05/21/2019
Last updated
06/02/2025
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