Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
STEFANUS MULJANA MD INC
Active
Organization
STEFANUS MULJANA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANUS MULJANA MD (PRESIDENT)
(909) 865-6255
Entity
Organization
Contact information
Practice address
724 N GAREY AVE, POMONA, CA 91767-4614
(909) 865-6255
(909) 865-6355
Mailing address
724 N GAREY AVE, POMONA, CA 91767-4614
(909) 865-6255
(909) 865-6355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A39505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A395051
—
CA
01
—
A39505B
MEDICARE PTAN
—
Enumeration date
04/25/2012
Last updated
04/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up