Individual provider · Type 1 NPI

Aundree Hermawan, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1295343523 Active

Practice location

1200 N State St Rm C4E100
Los Angeles, CA 90089-1001

Other practice locations

  • 5323 Harry Hines Blvd, Dallas, TX 75390-9006 · (214) 648-2168

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1295343523

Aundree Hermawan, MD's National Provider Identifier is 1295343523, issued on Jul 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on May 6, 2024.