Individual
MRS. RACHEL KURNIADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3116
(619) 260-6300
(858) 373-2447
Mailing address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3116
(619) 260-6300
(858) 373-2447
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A41752
CA
208100000X
Physical Medicine & Rehabilitation Physician
A41752
CA
Other
Enumeration date
10/16/2008
Last updated
01/26/2011
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