FERRY FERDIANTO

SAN FRANCISCO, CA
NPI1740606920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA55394)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NY  017304)
Enumeration Date2014-03-11
Last Update Date2023-08-02
Business Address
FERRY FERDIANTO
1500 OWENS ST
SAN FRANCISCO, CA 94158-2334
Phone number: 415-885-3668
Mailing Address
FERRY FERDIANTO
1500 OWENS ST
SAN FRANCISCO, CA 94158-2334
Phone number: 415-885-3668