Individual
DR. ALEX BUDIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2110 N. BELLFLOWER BLVD., LONG BEACH, CA 90815
(562) 346-2222
(562) 546-8210
Mailing address
2110 N. BELLFLOWER BLVD., LONG BEACH, CA 90815
(562) 346-2222
(562) 546-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14857
CA
207Q00000X
Family Medicine Physician
DR.0061948
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000174876
—
CO
Enumeration date
04/09/2013
Last updated
03/14/2024
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