| Dr Willy Murtidjaja, MD | |
|
1175 N Unruh Ave, La Puente, CA 91744-2052 | |
| (626) 918-8210 | |
| Not Available |
| Full Name | Dr Willy Murtidjaja |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1175 N Unruh Ave, La Puente, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174620041 | NPI | - | NPPES |
| 00A466511 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A466511 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Willy Murtidjaja, MD 1175 N Unruh Ave, La Puente, CA 91744-2052 Ph: (626) 918-8210 | Dr Willy Murtidjaja, MD 1175 N Unruh Ave, La Puente, CA 91744-2052 Ph: (626) 918-8210 |
Shams Al-sadat Mousavilar, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744 Phone: 626-727-2150 Fax: 626-727-2105 | |
Juliana Uzoma Ojukwu, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15913 Amar Rd, La Puente, CA 91744 Phone: 909-260-9718 |