MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION


Address: 5286 Eastgate Mall, San Diego, CA 92121-2815
Phone: 8586220792

MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION (NPI# 1346515095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346515095
Entity Type Organization
Organization Name MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION
Other Organization Name MAHALO
Practice Address 5286 Eastgate Mall
San Diego
CA 92121-2815
Practice Telephone 8586220792
Practice Fax Number 8588660760
Mailing Telephone 8586220792
Mailing Fax Number 8588660760
Enumeration Date 2012-03-14
Last Update Date 2012-03-14
Authorized Official Name MR. ROY ANTHONY BROWN (CEO)
Authorized Official Telephone 6192186460
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities
N 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MAHALO Other Name - Individual/Organization

Office Location

Street Address 5286 EASTGATE MALL
City SAN DIEGO
State CA
Zip Code 92121-2815

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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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1427140367 Jerry Rand Apmc Clinic/Center 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 2006-09-28

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Competitor

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City SAN DIEGO
Zip Code 92121

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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