BERNARDUS GANI SUGIARTO KARTONO WINARDI

LOMPOC, CA
NPI1700124161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A135298)
Additional Taxonomies282N00000X General Acute Care Hospital
Enumeration Date2013-01-19
Last Update Date2016-11-21
Business Address
-- BERNARDUS GANI SUGIARTO KARTONO WINARDI MD
425 W CENTRAL AVE SUITE 201
LOMPOC, CA 93436-2805
Phone number: 805-737-1169
Mailing Address
-- BERNARDUS GANI SUGIARTO KARTONO WINARDI MD
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 805-361-8028
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