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Individual

WILLIAM ANGKADJAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1910 ORANGE TREE LN STE 320, REDLANDS, CA 92374-4500
(909) 793-2363
Mailing address
1910 ORANGE TREE LN STE 320, REDLANDS, CA 92374-4500

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A156962
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
04/18/2017
Last updated
07/13/2020
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