Individual provider · Type 1 NPI

Hana Gracia Hadiprodjo, DO

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1659125847 Active

Practice location

1601 Precision Park Ln
San Diego, CA 92173-1345

Call (619) 662-4100 Map

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 1659125847

Hana Gracia Hadiprodjo, DO's National Provider Identifier is 1659125847, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Apr 15, 2024.