Organization
MALAMA IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYDEEN M FUJIMOTO-BUSSE MD (OWNER)
(808) 524-4055
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST, SUITE 310, HONOLULU, HI 96814-1870
(808) 524-4055
Mailing address
1401 S BERETANIA ST, SUITE 310, HONOLULU, HI 96814-1870
(808) 524-4055
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
15081
HI
261QM2500X
Medical Specialty Clinic/Center
Primary
6492
HI
Other
Enumeration date
05/24/2012
Last updated
11/08/2012
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