Bernardus Gani Sugiarto Kartono Winardi, MD

NPI #1700124161 in Lompoc, California

Provider Information

NPI Number: 1700124161
Entity Type: Individual
Name: Bernardus Gani Sugiarto Kartono Winardi, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jan 19, 2013
Last Updated: Nov 21, 2016

Practice Location

Address: 425 W CENTRAL AVE
Address 2: SUITE 201
City: Lompoc
State: California
ZIP Code: 93436-2805
Phone: (805) 737-1169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Pediatrics	208000000X	Primary

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