Basuki, Yunitrisuwanto
Basuki, Yunitrisuwanto is an sole proprietor health care provider with primary practice located at 625 Montana Ave , Santa Monica CA 90403-1409. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Basuki, Yunitrisuwanto can be contacted via phone (310) 393-7007.Contact Information
Primary practice address
625 Montana Ave
Santa Monica CA 90403-1409
Phone: (310) 393-7007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 8254 | California |
Profile Details
| NPI number | 1518557016 |
|---|---|
| LBN Legal business name | Basuki, Yunitrisuwanto |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2021 |
| Last updated | Jan 19th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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