Michelle Gandawidjaja
Michelle Gandawidjaja is a Pharmacist in Newport Beach, California. Licensed in California. Registered with an NPI since 2026.
- Licensed in
- CA
- In the registry since
- 2026
Practice location Address checks out
1 Hoag DrNewport Beach, CA 92663-4162
Phone: (949) 764-4624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 82814 (CA) |
|---|
Record details
| NPI number | 1871448795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 4, 2026 |
| Last updated in NPPES | March 4, 2026 |
| Certification date | March 4, 2026 |
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