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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