Wonoprabowo, Jeffrey

Wonoprabowo, Jeffrey is an individual health care provider with primary practice located at 11234 Anderson St Gme Office Csp 21005, Loma Linda CA 92350-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wonoprabowo, Jeffrey can be contacted via phone (909) 558-7263.

Contact Information

Primary practice address
11234 Anderson St Gme Office Csp 21005 Loma Linda CA 92350-1716
Phone: (909) 558-7263
Fax: (909) 558-0427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A126969 California

Profile Details

NPI number 1629330436
LBN Legal business name Wonoprabowo, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Oct 25th, 2024 - about 2 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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