Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Angkadjaja

Individual provider Nurse Practitioner · NPI 1073462610

Matthew Angkadjaja is a Nurse Practitioner in Loma Linda, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

11467 Via Lagos
Loma Linda, CA 92354-3851
Phone: (626) 231-9465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95034134 (CA)

Record details

NPI number1073462610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 26, 2026

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