Winoto, Johan

Winoto, Johan is an sole proprietor health care provider with primary practice located at 777 Campus Commons Rd Suite 120, Sacramento CA 95825-8309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Winoto, Johan can be contacted via phone (916) 929-8564.

Contact Information

Primary practice address
777 Campus Commons Rd Suite 120 Sacramento CA 95825-8309
Phone: (916) 929-8564
Fax: (916) 929-5963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35090745 Ohio

Profile Details

NPI number 1780635920
LBN Legal business name Winoto, Johan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jul 18th, 2012 - about 14 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 1780635920 NPPES
California MEDICAID GR0015060
California Other P00981485

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