Search › California › 1223G0001X
Kevin Hadidjaja
NPI 1538765086 · on the registry since 2020
Practice
- Address
- 905 E 2nd St Apt 336
Los Angeles, CA 90012 - Phone
- (310) 347-8432
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California