| Action With Aloha Llc | |
|
200 N Vineyard Blvd Ste 330 Honolulu HI 96817-3938 | |
| (808) 599-7508 | |
| (808) 599-7509 |
| Full Name | Action With Aloha Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 N Vineyard Blvd Ste 330, Honolulu, Hawaii |
| Authorized Official Name and Position | Julianna Lesina Tuaumu Moefu-kaleopa (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 8085997508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Action With Aloha Llc 970 N Kalaheo Ave Suite A310-b Kailua HI 96734-1801 Ph: (808) 375-3338 | Action With Aloha Llc 200 N Vineyard Blvd Ste 330 Honolulu HI 96817-3938 Ph: (808) 599-7508 |
| NPI Number | 1174701361 |
|---|---|
| Provider Enumeration Date | 02/10/2008 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 9335308592 |
|---|---|
| Medicare Enrollment ID | O20120307000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174701361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | W-3354745801 (Hawaii) | Primary |
| Provider Name | Julianna Moefu-kaleopa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396995114 PECOS PAC ID: 4789003773 Enrollment ID: I20201005000569 |
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