Michelle Gandawidjaja
Pharmacist
1 Hoag Dr, Newport Beach
California, 92663-4162
949-764-4624 Michelle Gandawidjaja is a pharmacist in Newport Beach, California. Patients can reach her at 1 Hoag Dr, Newport Beach or contact her on 949-764-4624. Active license number of Michelle Gandawidjaja is 82814 for Pharmacist in California.
Michelle Gandawidjaja is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Michelle Gandawidjaja speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Michelle Gandawidjaja |
| Specialization: | Pharmacist |
| Gender: | Female |
| Location: | 1 Hoag Dr, Newport Beach,
California, 92663-4162 |
| Phone: | 949-764-4624 |
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 of Michelle Gandawidjaja are as mentioned below.
| NPI Number: | 1871448795 |
| NPI Enumeration Date: | 04 Mar, 2026 |
| NPI Last Update On: | 04 Mar, 2026 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle Gandawidjaja are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 82814 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 272 Novel,
Irvine, California |
| Zip: | 92618-1792 |
| Phone Number: | -- |
Patients can reach Michelle Gandawidjaja at
1 Hoag Dr, Newport Beach, California or can
call on phone at 949-764-4624.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.