ANDRE CIPTA

GLENDALE, CA
NPI1982041604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  a124104)
Enumeration Date2013-06-04
Last Update Date2021-12-03
Business Address
-- ANDRE CIPTA
801 S CHEVY CHASE DR 230
GLENDALE, CA 91205-4431
Phone number: 818-500-5525
Mailing Address
-- ANDRE CIPTA
801 S CHEVY CHASE DR 230
GLENDALE, CA 91205-4431
Phone number:
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