Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angeline Hadiwidjaja, MD

Individual provider Pediatrics Physician · NPI 1417049792

Angeline Hadiwidjaja, MD is a Pediatrics Physician in Fremont, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 Kearney St
Fremont, CA 94538-2299
Phone: (510) 490-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A67186 (CA)

Record details

NPI number1417049792
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

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