NPI | 1700890167 |
---|---|
Other Name | HERMAN SARDJONO MD MEDICAL CORPORAT |
Other Name | HERMAN SARDJONO MD MEDICAL CORPORATION |
Other Name | HERMAN SARDJONO MD MED CORP |
Entity Type | Organization |
Authorized Contact | HERMAN SARDJONO MD President 626-821-5305 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A41793) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2019-11-12 |