Individual
JONATHAN KUSMULYANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
26120 PLUMCOT DR, CORONA, CA 92883-3141
(626) 641-5054
Mailing address
26120 PLUMCOT DR, CORONA, CA 92883-3141
(626) 641-5054
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95037773
CA
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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