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STEFANUS MULJANA MD INC NPI 1083972285


NPI Information

NPI: 1083972285
Provider Name: STEFANUS MULJANA MD INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
724 N GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 865-6255
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STEFANUS MULJANA MD INC is an internal medicine in Pomona, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. STEFANUS MULJANA MD INC NPI is 1083972285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

724 N GAREY AVE
POMONA, CA
ZIP 91767-614
Phone: (909) 865-6255
Fax: (909) 865-6355

The provider's authorized official is Stefanus Muljana .
The authorized official title is President and has the following contact phone number (909) 865-6255.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 4/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA39505CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A395051MEDICAIDCALIFORNIA
2A39505BOTHERMEDICARE PTAN
3A85297MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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