Emanuel Bambang Kristianto MD

NPI 1063589075 - Family Medicine - 207Q00000X

NPI Details
NPI 1063589075
Gender Male
Enumeration Date 11/29/2006
Last Updated 09/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
10800 MAGNOLIA AVE
RIVERSIDE CA, 92505-3043, US
Phone (909) 353-2000
Fax
Business Location
10800 MAGNOLIA AVE
RIVERSIDE CA, 92505-3043, US
Phone (909) 353-2000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A88106
Remove 1063589075 NPI Number
 

According to our database, Emanuel Bambang Kristianto MD NPI is 1063589075, taxonomy code is 207Q00000X and license number is A88106, license state is located at California. Emanuel Bambang Kristianto MD physically located at 10800 Magnolia Ave, Riverside CA, 92505-3043. NPI Number Emanuel Bambang Kristianto MD has the Individual type.

Sponsored links

1063589075 NPI number is provided on an as is basis without warranty of any kind. 1063589075 is maintained by the National Plan & Provider Enumeration System. The contents of Emanuel Bambang Kristianto MD are for informational purposes only.