Individual
ANDREW JEREMY DARMAHKASIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 FAIRMOUNT AVE STE 310, PASADENA, CA 91105-3153
(626) 449-7350
(626) 449-1321
Mailing address
800 FAIRMOUNT AVE STE 310, PASADENA, CA 91105-3153
(626) 449-7350
(626) 449-1321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A164751
CA
Other
Enumeration date
03/17/2018
Last updated
07/12/2021
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