Individual
BASUKI K. GUNAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9353 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-4292
Mailing address
9353 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-4292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A78609
CA
Other
Enumeration date
08/31/2006
Last updated
12/21/2021
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