What is Soedharsono Judo's NPI number?

Soedharsono Judo's National Provider Identifier (NPI) is 1093873218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Soedharsono Judo's specialty?

Soedharsono Judo is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Soedharsono Judo located?

Soedharsono Judo's practice location on file with NPPES is 1087 North Park Avenue, Pomona, CA 91768-3026.

What is Soedharsono Judo's phone number?

The practice phone number listed in the NPPES registry for Soedharsono Judo is (909) 629-0201.

Is Soedharsono Judo's NPI active?

Yes — Soedharsono Judo's NPI (1093873218) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Soedharsono Judo, DDS

NPI 1093873218 · Dentist · Pomona, CA

Soedharsono Judo, DDS is a Dentist provider in Pomona, CA (NPI 1093873218).

Provider details

NPI number: 1093873218
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 34127 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 34127 (CA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1087 North Park Avenue

Pomona, CA 91768-3026

Phone: (909) 629-0201

Street-level locationGet directions

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Mailing address