Herman Sardjono Md Medical Corporat

LBN: Herman Sardjono Md Medical Corp
Herman Sardjono Md Medical Corporat is an health care organization with primary practice located at 72 W Las Tunas Dr , Arcadia CA 91007. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Herman Sardjono Md Medical Corp can be contacted via phone (626) 821-5305, or through Sardjono Md, Herman via phone (626) 821-5305.

Contact Information

Primary practice address
72 W Las Tunas Dr Arcadia CA 91007
Phone: (626) 821-5305
Fax: (626) 821-0141
Website:
Map and Directions
Authorized official contact:
Name: Sardjono Md, Herman MD PA
Phone: (626) 821-5305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A41793 California

Profile Details

NPI number 1700890167
LBN Legal business name Herman Sardjono Md Medical Corp
DBA Doing business as Herman Sardjono Md Medical Corporat
Authorized official Sardjono Md, Herman MD PA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 12th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700890167 NPPES
California MEDICAID 00A417930

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