Ira Paula Wardono
M.D. | Pediatrics | Female
Ira Paula Wardono, M.D. is a Tarzana, California based Pediatric doctor with medical specialization in
General Pediatrics. Ira Paula Wardono is also known as
Ira Paula Yusup.
Current practice location of Ira Paula Wardono is
18321 Clark St, Tarzana, California - 91356-3501. She can be contacted on phone at
818-881-0800.
Ira Paula Wardono is a sole proprietor of her business.
NPI number (Unique professional ID) for Ira Paula Wardono is
1134324148 which was assigned by NPPES on 19 Jun, 2007 and it was last updated on 01 Jul, 2020.
Ira Paula Wardono license number is
A112875 for Pediatrics (208000000X) in California.
Ira Paula Wardono is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ira Paula Wardono basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ira Paula Wardono |
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| Other Name : | Ira Paula Yusup |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Ira Paula Wardono address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 18321 Clark St
Tarzana, CA, 91356-3501
United States |
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| Phone Number : | 818-881-0800 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134324148 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2007 |
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| Last Updated On : | 01 Jul, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ira Paula Wardono are as mentioned. Primary taxonomy code for Ira Paula Wardono, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A112875 | CA |
| 208000000X | Pediatrics | No | MD431846 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Ira Paula Wardono such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 824184 | Other | PA | FPH |
| 001993563 | Other | PA | BLUE SHIELD |
| 1020378080001 | MEDICAID | PA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
420 34TH ST,
BAKERSFIELD, CA, 93301-2237
United States | BAKERSFIELD, CA | 323-361-1677 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6430 W Sunset Blvd, Suite 600
Los Angeles, CA, 90028-7900
United States |
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| Phone Number : | 323-361-2337 |
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| Fax Number : | 323-361-8491 |
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Business Location:
Patients can refer following map for directions to
Ira Paula Wardono practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.