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Audreyandra Lucia Imansjah, DO
Family Medicine Physician in San Ramon, California
NPI 1710481858

Audreyandra Lucia Imansjah is a Family Medicine Physician based in San Ramon, CA. Audreyandra Lucia Imansjah practices in San Ramon, CA and has the professional credentials of DO. The NPI Number for Audreyandra Lucia Imansjah is 1710481858 and holds a License No. (California).

The current practice location address for Audreyandra Lucia Imansjah is 2300 Camino Ramon, San Ramon, CA and can be reached out via phone at 925-244-7400.

Location: 2300 Camino Ramon, San Ramon, CA, 94583-1354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710481858
Provider Name
Audreyandra Lucia Imansjah
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2300 Camino Ramon, San Ramon, CA, 94583-1354
Phone Number
925-244-7400
Fax Number
Provider Enumeration Date
03/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2300 Camino Ramon
City
San Ramon
State
California
Zip
94583-1354
Phone Number
925-244-7400
Fax Number
person
Provider Business Mailing Address Details
Address
2300 Camino Ramon
City
San Ramon
State
California
Zip
94583-1354
Phone Number
925-244-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
17597 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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