# KOHALA CARDIOVASCULAR INTERVENTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ohana Cardiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932831641
- **Authorized official:** CHRISTINA DIAZ (BILLING MANAGER)
- **Authorized official phone:** (480) 565-6751

## Contact information

- **Practice address:** 1910 S STAPLEY DR STE 114, MESA, AZ 85204-6675
- **Practice address phone:** (480) 955-0900
- **Practice address fax:** (480) 955-0800
- **Mailing address:** 3420 S MERCY RD STE 300, GILBERT, AZ 85297-0425
- **Mailing address phone:** (480) 565-6751
- **Mailing address fax:** (480) 955-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022
