Individual
DR. AUNDREE HERMAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST RM C4E100, LOS ANGELES, CA 90089-1001
(323) 442-7400
Mailing address
1200 N STATE ST RM C4E100, LOS ANGELES, CA 90089-1001
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
05/06/2024
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