Haris Basri Sinaga, is a
Licensed Vocational Nurse based in Fonta, California. Haris Basri Sinaga is licensed to practice in California (license number VN214075) and his current practice location is
14677 Merrill Avenue, Fonta, California. He can be reached at his office (for appointments etc.) via phone at
(951) 643-2340.
NPI number for Haris Basri Sinaga is 1356984082 and his current mailing address is 12440 Tamarisk Dr, Rancho Cucamonga, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356984082.
Provider's Profile
| Full Name | Haris Basri Sinaga |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 14677 Merrill Avenue, Fonta, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356984082
- Provider Enumeration Date: 10/25/2019
- Last Update Date: 10/25/2019
Medical Identifiers
Medical identifiers for Haris Basri Sinaga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356984082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | VN214075 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haris Basri Sinaga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Haris Basri Sinaga,
12440 Tamarisk Dr,
Rancho Cucamonga, CA 91739-1517
Ph: (909) 972-5349 | Haris Basri Sinaga,
14677 Merrill Avenue,
Fonta, CA 92335
Ph: (951) 643-2340 |
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