Lusiana Kartawidjaja
ActiveCalifornia license A105710
License
- Licensed by
- Medical Board of California
- License number
- A105710
- Status
- Active (Current)
- First issued
- October 3, 2008
- Expires
- March 31, 2028
- License holder
- Lusiana Kartawidjaja
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Kaiser Family Medicine Dept
1717 E Date Place
San Bernardino, CA 92404
1717 E Date Place
San Bernardino, CA 92404
San Bernardino County