Santoso, Paulus L.
Santoso, Paulus L. is an individual health care provider with primary practice located at 6969 Brockton Ave Ste. A-B, Riverside CA 92506-3809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Santoso, Paulus L. can be contacted via phone (951) 530-8989.Contact Information
Primary practice address
6969 Brockton Ave Ste. A-B
Riverside CA 92506-3809
Phone: (951) 530-8989
Fax: (951) 530-8877
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A85478 | California |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A85478 | California |
Profile Details
NPI number | 1154329373 |
---|---|
LBN Legal business name | Santoso, Paulus L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Mar 4th, 2016 - about 8 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 | 1154329373 | NPPES |
California | MEDICAID | 00A854780 |
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