BIANCA WIBISONO, PA-C

Physician Assistant

Active Individual
NPI: 1134812548

Practice Address

1071 BLOSSOM HILL RD
San Jose, CA 95123

Phone: (408) 445-4020

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 62531 (CA)

Frequently Asked Questions

NPI 1134812548 is the National Provider Identifier for BIANCA WIBISONO, PA-C, a Physician Assistant provider located in San Jose, CA. This NPI was enumerated on May 31, 2023.
BIANCA WIBISONO, PA-C practices at 1071 BLOSSOM HILL RD, San Jose, CA 95123.

Quick Facts

NPI
1134812548
Type
Individual
Enumerated
May 31, 2023
Last Updated
Sep 13, 2023

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