National Provider Identifier Database

SANJAYA S UTAMA
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

SANJAYA S UTAMA
190 SIERRA CT UNIT B # A -115
PALMDALE, CA93550
Phone: 661-886-0287
Fax:
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for SANJAYA S UTAMA

NPI Number 1922408756
Credentials
Entity Individual
Enumeration date 08/29/2014
Last updated 11/05/2018 - About 8 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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