Handoko, Jonardi
Handoko, Jonardi is an sole proprietor health care provider with primary practice located at 811 E 11Th St Ste 206, Upland CA 91786. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Handoko, Jonardi can be contacted via phone (909) 931-3727.Contact Information
Primary practice address
811 E 11Th St Ste 206
Upland CA 91786
Phone: (909) 931-3727
Fax: (909) 931-3729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A43851 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A43851 | California |
Profile Details
| NPI number | 1780664581 |
|---|---|
| LBN Legal business name | Handoko, Jonardi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 13th, 2010 - about 16 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 | 1780664581 | NPPES |
| California | Other | A43851 | SOUTHERN CALIFORNIA |
| California | MEDICAID | OOA438511 | SOUTHERN CALIFORNIA |
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