Organization
MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION
Active
Organization
MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION
Active
Other names
MAHALO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY ANTHONY BROWN (CEO)
(619) 218-6460
Entity
Organization
Contact information
Practice address
5286 EASTGATE MALL, SAN DIEGO, CA 92121-2815
(858) 622-0792
(858) 866-0760
Mailing address
5286 EASTGATE MALL, SAN DIEGO, CA 92121-2815
(858) 622-0792
(858) 866-0760
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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