Individual
NATALIE YUWONO TJOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
338 SPEAR ST UNIT 4G, SAN FRANCISCO, CA 94105-6167
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
195435
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2021
Last updated
07/02/2024
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