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

Mr. Sungguh Manullang

Individual provider Family Nurse Practitioner · NPI 1740115856

Mr. Sungguh Manullang is a Family Nurse Practitioner in Loma Linda, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92350-1716
Phone: (909) 558-4000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95039627 (CA)

Record details

NPI number1740115856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

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