DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALFONSUS P HARDOSUBROTO

Active Sole Proprietor

ALFONSUS P HARDOSUBROTO is a Assisted Living Facility healthcare provider located in ROSEVILLE, California. NPI 1285599522 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · ROSEVILLE, CA

Registration Details

NPI Number
1285599522
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2025 (0.67356029421854 yrs)
Last Updated
Dec 18, 2025
License
315002920 (CA)
Sole Proprietor
Yes

Practice Information

Address
1397 SUN TREE DR
ROSEVILLE, CA, 956615344
Browse CA providers · Browse ZIP 95661
Phone
9168995604
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in ROSEVILLE, CA

Name Credential NPI
ANITA SUMAN HEYDON 1073175899
GLORIA JOYCE BRON SUSBILLA 1700622305
MR. VIVEK MAHAJAN 1871458695
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.