Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
425 W CENTRAL AVE SUITE 201
LOMPOC, CA 93436-2805 US
PECOS Enrolled

Bernardus Gani Sugiarto Kartono WinardI

Pediatrician

Bernardus Gani Sugiarto Kartono WinardI

Overview

Bernardus Gani Sugiarto Kartono WinardI is a Pediatrician in the LOMPOC area. Bernardus Gani Sugiarto Kartono WinardI primary office location is at 425 W CENTRAL AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1700124161 and the information was updated approximately 9 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
425 W CENTRAL AVE SUITE 201
LOMPOC, CA 93436-2805 US
Phone: (805)-737-1169
Fax:
Practice Mailing Information
2050 S BLOSSER RD
SANTA MARIA, CA 93436-2805 US
Phone: (805)-361-8028
Fax: (805)-361-8097
License Number State
A135298 CA

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