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
HERMAN SARDJONO MD MEDICAL CORP
Active
Organization
HERMAN SARDJONO MD MEDICAL CORP
Active
Other names
HERMAN SARDJONO MD MEDICAL CORPORAT, HERMAN SARDJONO MD MED CORP, HERMAN SARDJONO MD MEDICAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN SARDJONO MD MD PA (PRESIDENT)
(626) 821-5305
Entity
Organization
Contact information
Practice address
72 W LAS TUNAS DR, ARCADIA, CA 91007
(626) 821-5305
(626) 821-0141
Mailing address
72 W LAS TUNAS DR, ARCADIA, CA 91007
(626) 821-5305
(626) 821-0141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A41793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A417930
—
CA
Enumeration date
07/28/2006
Last updated
11/12/2019
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