Handoko, Jonardi

Handoko, Jonardi is an sole proprietor health care provider with primary practice located at 811 E 11Th St Ste 206, Upland CA 91786. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Handoko, Jonardi can be contacted via phone (909) 931-3727.

Contact Information

Primary practice address
811 E 11Th St Ste 206 Upland CA 91786
Phone: (909) 931-3727
Fax: (909) 931-3729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A43851 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A43851 California

Profile Details

NPI number 1780664581
LBN Legal business name Handoko, Jonardi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Jul 13th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780664581 NPPES
California Other A43851 SOUTHERN CALIFORNIA
California MEDICAID OOA438511 SOUTHERN CALIFORNIA

Popular Providers