Kencana Healthcare INC
NPI #1811784564 in Montclair, California
Provider Information
- NPI Number
- 1811784564
- Entity Type
- Organization
- Organization Name
- Kencana Healthcare INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 24, 2025
- Last Updated
- Jul 15, 2025
Practice Location
- Address
- 9525 MONTE VISTA AVE UNIT 105
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2208
- Phone
- (909) 626-1205
Authorized Official
- Name
- DION ADIPUTRA KENCANA, MD
- Title
- CEO
- Phone
- (714) 580-3071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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