Agustinus Suhartono Suhardja
ActiveCalifornia license A89588
License
- Licensed by
- Medical Board of California
- License number
- A89588
- Status
- Active (Current)
- First issued
- December 8, 2004
- Expires
- August 31, 2028
- License holder
- Agustinus Suhartono Suhardja
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1020 Argonia Pl
Walnut, CA 91789-4321
Walnut, CA 91789-4321
Los Angeles County