Individual provider · Type 1 NPI

Brandon Kurniawan

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

NPI number 1710549068 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Mailing address

5800 Hellman Ave
Rancho Cucamonga, CA 91737-2124

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 1710549068

Brandon Kurniawan's National Provider Identifier is 1710549068, issued on Jul 7, 2019. 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 Jul 7, 2019.