Organization
DAVID JOHN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SELINA MATTOS CPC (BILLING SPECISLIST)
(808) 531-7111
Entity
Organization
Contact information
Practice address
1329 LUSITANA ST STE 804, HONOLULU, HI 96813-2434
(808) 531-7111
Mailing address
1329 LUSITANA ST STE 804, HONOLULU, HI 96813-2434
(808) 531-7111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD3791
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01601501
—
HI
05
—
52447201
—
HI
01
—
C17172
HMSA
HI
Enumeration date
03/22/2008
Last updated
07/26/2010
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