Dion Adiputra Kencana
ActiveCalifornia license A200899
License
- Licensed by
- Medical Board of California
- License number
- A200899
- Status
- Active (Current)
- First issued
- January 29, 2025
- Expires
- March 31, 2027
- License holder
- Dion Adiputra Kencana
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
217 N Lincoln Ave Apt A
Monterey Park, CA 91755-1729
Monterey Park, CA 91755-1729
Los Angeles County