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

Individual provider Hematology & Oncology Physician · NPI 1043337173

Imawati Budihardjo, MD, PHD is a Hematology & Oncology Physician in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3855 Health Sciences Dr # 0658
LA Jolla, CA 92093-0987
Phone: (858) 822-6100
Fax: (858) 822-6186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence A84421 (CA)

Record details

NPI number1043337173
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedMarch 23, 2007
Last updated in NPPESOctober 12, 2007

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