Individual
DANA WU SUHANDYNATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
354 SANTA FE DR, ENCINITAS, CA 92024-5142
(760) 633-6501
Mailing address
PO BOX 231189, ENCINITAS, CA 92023-1189
(760) 230-2252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A139704
CA
Other
Enumeration date
04/08/2014
Last updated
03/17/2018
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