Herman Sardjono Md Medical Corp in Arcadia - Internal Medicine
Herman Sardjono Md Medical Corp - NPI 1700890167
Herman Sardjono Md Medical Corp is a Internal Medicine in Arcadia, California. Herman Sardjono Md Medical Corp practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Herman Sardjono Md Medical Corp is 1700890167. The last update date is 2019-11-12.
Herman Sardjono Md Medical Corp's current location address is 72 W Las Tunas Dr, Arcadia, California. You can contact this provider via phone number 6268215305 and fax number 6268210141. The mailing address for Herman Sardjono Md Medical Corp is 72 W Las Tunas Dr, Arcadia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Herman Sardjono Md Medical Corp |
|---|---|
| Address | 72 W Las Tunas Dr, Arcadia, California |
| Phone Number | 6268215305 |
| Fax Number | 6268210141 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sardjono Md Herman |
| Credentials | MD PA |
| Telephone Number | 6268215305 |
NPI Number Detail
| NPI Number | 1700890167 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2019-11-12 |
Provider Mailing Address Detail
| Address | 72 W Las Tunas Dr |
|---|---|
| City | Arcadia |
| State | California (CA) |
| Post Code | 91007 |
| Phone Number | 6268215305 |
| Fax Number | 6268210141 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A41793 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A417930 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Herman Sardjono Md Medical Corp by the Centers for Medicare & Medicaid Services?
The Herman Sardjono Md Medical Corp has been issued the NPI (National Provider Identifier) 1700890167 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Herman Sardjono Md Medical Corp located?
The Herman Sardjono Md Medical Corp is located at 72 W Las Tunas Dr, Arcadia, CA 91007.
What is Herman Sardjono Md Medical Corp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Herman Sardjono Md Medical Corp is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Herman Sardjono Md Medical Corp receive its 1700890167 assignment from the Centers for Medicare & Medicaid Services?
The Herman Sardjono Md Medical Corp was assigned its 1700890167 by the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the Herman Sardjono Md Medical Corp's information last updated?
The Herman Sardjono Md Medical Corp's information was last updated on 2019-11-12.