Sanusi, Alpha Iscandari

Sanusi, Alpha Iscandari is an individual health care provider with primary practice located at 1760 Chicago Ave Ste L21 , Riverside CA 92507-2326. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Sanusi, Alpha Iscandari can be contacted via phone (626) 622-3359.

Contact Information

Primary practice address
1760 Chicago Ave Ste L21 Riverside CA 92507-2326
Phone: (626) 622-3359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X C51502 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X C51502 California

Profile Details

NPI number 1710534821
LBN Legal business name Sanusi, Alpha Iscandari
Credentials BOCPO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated Aug 22nd, 2019 - about 6 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 1710534821 NPPES
California Other C51502 ORTHOTIST/PROSTHETIST CREDENTIAL

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