SearchCalifornia207R00000X

Cong Santoso, M.D

NPI 1659613057 · on the registry since 2013

Practice

Address
101 Bodin Cir
David Grant Usaf Medical Center
Fairfield, CA 94535
Phone
(707) 423-7342
Organisation at this address
Usaf
United States Air Force
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
142

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California