IWAN NYOTOWIDJOJO, M.D

NPI: 1578976270 · Individual · Active

Primary Specialty

Internal Medicine Physician
Internal Medicine

Practice Location

29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688 Map ↗
Phone: 949-459-9968
Fax: 949-766-2565

All Specialties & Licenses

  • Internal Medicine Physician Primary (license: A167115, CA)
  • Internal Medicine Physician (license: MD-50889, IA)
  • Internal Medicine Physician (license: TW-00242, KS)
  • Internal Medicine Physician (license: 334744, LA)
  • Internal Medicine Physician (license: DR.0069772, CO)
  • Internal Medicine Physician (license: TPME4194, FL)
  • Internal Medicine Physician (license: 01089040A, IN)
  • Internal Medicine Physician (license: MC-1884, ID)
  • Internal Medicine Physician (license: D0096206, MD)
  • Internal Medicine Physician (license: CL-0025782, DE)
  • Internal Medicine Physician (license: MD26749, ME)
  • Internal Medicine Physician (license: C1300, KY)
  • Internal Medicine Physician (license: 45679, AL)
  • Internal Medicine Physician (license: R74508, AZ)

HIE Endpoints

  • FHIR: https://memorialcare.org/fhir/api/FHIR/R4/
    via MemorialCare Medical Foundation

NPI Registration

Enumerated: 2014-06-10

Last CMS Update: 2024-07-17