institution
Paulus Santoso Md A Professional Corporation
Obstetrics Physician in Riverside, California
NPI 1093042970

Paulus Santoso Md A Professional Corporation is a Obstetrics Physician based in Riverside, CA and is specialized in Obstetrics. Paulus Santoso Md A Professional Corporation practices in Riverside, CA. The NPI Number for Paulus Santoso Md A Professional Corporation is 1093042970 and holds a License No. A85478 (California).

The current practice location address for Paulus Santoso Md A Professional Corporation is 6969 Brockton Ave, Riverside, CA and can be reached out via phone at 951-530-8989 and via fax at 951-530-8877. You can also correspond with Paulus Santoso Md A Professional Corporation through the mailing address at 6969 BROCKTON AVE, RIVERSIDE, CA - 92506-3809 (mailing address contact number: 951-530-8989).

Location: 6969 Brockton Ave, Riverside, CA, 92506-3809
institution
Provider Profile Details
NPI Number
1093042970
Provider Name
Paulus Santoso Md A Professional Corporation
Credential
Provider Entity Type
Organization
Address
6969 Brockton Ave, Riverside, CA, 92506-3809
Phone Number
951-530-8989
Fax Number
951-530-8877
Provider Enumeration Date
11/12/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00A854780 05 CA
00A854780 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
6969 Brockton Ave
City
State
Zip
92506-3809
Phone Number
951-530-8989
Fax Number
951-530-8877
person
Provider Business Mailing Address Details
Address
6969 Brockton Ave
City
State
Zip
92506-3809
Phone Number
951-530-8989
Fax Number
951-530-8877
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
A85478 (California)
Definition
Definition to come...
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