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Organization
MAKENA HEALTHCARE
Active
Organization
MAKENA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIET HOANG MD (PRESIDENT)
(714) 251-0535
Entity
Organization
Contact information
Practice address
1801 E KATELLA AVE # 39, ANAHEIM, CA 92805-6602
(714) 251-0535
Mailing address
1801 E KATELLA AVE APT 4039, ANAHEIM, CA 92805-6667
(714) 251-0535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A87487
CA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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