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Organization
OHANA PHYSICIANS COOPERATIVE INC
Active
Organization
OHANA PHYSICIANS COOPERATIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SIEW MD (SECRETARY)
(213) 605-1313
Entity
Organization
Contact information
Practice address
668 N COAST HWY, LAGUNA BEACH, CA 92651
(949) 234-7262
Mailing address
668 N COAST HWY, PO BOX 394, LAGUNA BEACH, CA 92651
(949) 234-7262
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
07/17/2019
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