Basuki K. Gunawan, M.D.
Internal Medicine in Downey, CA. Individual provider (NPI-1).
NPI number1346352473
StatusActive
Last updated in NPPESDec 21, 2021
Details
- NPI
- 1346352473
- Entity type
- Individual (NPI-1)
- Name
- Basuki K. Gunawan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Dec 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A78609 | CA | Yes |
Practice location
9353 Imperial HwyDowney, CA 90242-2812
Phone 562-657-4292
Mailing address
9353 Imperial HwyDowney, CA 90242-2812
Phone 562-657-4292
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