Individual
ANDREW CONSTANTINE MARIO DJUNAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
3250 CHAD CT, MURFREESBORO, TN 37129-0830
(615) 427-2008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A135054
CA
Other
Enumeration date
04/20/2013
Last updated
01/09/2019
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