Organization
MANU'A MEDICAL CENTER, INC.
Active
Other names
Manu'a Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARNEY SENE (PRESIDENT & CEO)
(213) 892-2300
Entity
Organization
Contact information
Practice address
98-2925 TUITASI FARM ROAD, MALAELOA-AITULAGI, PAGO PAGO, AS 96799
(684) 688-9968
(323) 892-2307
Mailing address
8033 W SUNSET BLVD STE 588, LOS ANGELES, CA 90046-2401
(323) 892-2300
(323) 892-2307
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
—
—
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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