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Organization
JAYA HEALTHCARE NURSING INC.
Active
Organization
JAYA HEALTHCARE NURSING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SUGIHARTO FNP (FNP)
(626) 228-9957
Entity
Organization
Contact information
Practice address
425 W MAIN ST STE 101, ALHAMBRA, CA 91801-7439
(626) 228-9957
Mailing address
12143 LAMBERT AVE, EL MONTE, CA 91732-2055
(626) 590-1404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619445665
—
CA
Enumeration date
02/23/2023
Last updated
03/16/2023
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