Jonathan Wibisono, NP

NPI 1992158653 · on the registry since 2016 · sole proprietor

Practice

Address: 851 E 6th St
Suite B-4
Beaumont, CA 92223
Phone: (951) 845-2294
Organisation at this address: Apex Urgent Care, Inc
Dark & Kaibel, D.C.'S
Sleepmed Therapies Inc
Beltone Hearing Aid Center
Sleepmed Of California Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-07-18

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