Kounang, Robertus Hasan

Kounang, Robertus Hasan is an sole proprietor health care provider with primary practice located at 400 N Pepper Ave 212, Colton CA 92324-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kounang, Robertus Hasan can be contacted via phone (909) 580-6250.

Contact Information

Primary practice address
400 N Pepper Ave 212 Colton CA 92324-1801
Phone: (909) 580-6250
Fax: (909) 580-6369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A40627 California

Profile Details

NPI number 1689674582
LBN Legal business name Kounang, Robertus Hasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Dec 5th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689674582 NPPES
California MEDICAID 00A406270

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