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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689674582 | NPPES |
| California | MEDICAID | 00A406270 |
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