PAUL SUGIHARTO

ALHAMBRA, CA
NPI1619445665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95010196)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  744628)
Enumeration Date2018-11-07
Last Update Date2023-02-23
Business Address
PAUL SUGIHARTO
425 W MAIN ST STE 101
ALHAMBRA, CA 91801-7439
Phone number: 626-382-1252
Mailing Address
PAUL SUGIHARTO
12143 LAMBERT AVE
EL MONTE, CA 91732-2055
Phone number: 626-590-1404