Paulus Santoso Md A Professional Corporation

LBN: Paulus Santoso Md A Professional Corporation
Paulus Santoso Md A Professional Corporation is an health care organization with primary practice located at 6969 Brockton Ave Suite A-B, Riverside CA 92506-3809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as the primary health care specialty. Paulus Santoso Md A Professional Corporation can be contacted via phone (951) 530-8989, or through Santoso, Paulus Liem via phone (951) 530-8989.

Contact Information

Primary practice address
6969 Brockton Ave Suite A-B Riverside CA 92506-3809
Phone: (951) 530-8989
Fax: (951) 530-8877
Website:
Map and Directions
Authorized official contact:
Name: Santoso, Paulus Liem Doctor of Medicine (MD)
Phone: (951) 530-8989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X A85478 California

Profile Details

NPI number 1093042970
LBN Legal business name Paulus Santoso Md A Professional Corporation
DBA Doing business as
Authorized official Santoso, Paulus Liem Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2009
Last updated Mar 4th, 2016 - about 9 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 1093042970 NPPES
California MEDICAID 00A854780
California Other 00A854780

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