| Novotelehealth Hi, Inc. | |
|
500 Ala Moana Blvd Honolulu HI 96813-4920 | |
| (203) 528-5643 | |
| Not Available |
| Full Name | Novotelehealth Hi, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 500 Ala Moana Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Cristina Sanchez-jaquez (OWNER) |
| Authorized Official Contact | 2035285643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novotelehealth Hi, Inc. 1816 Coronado St Idaho Falls ID 83404-7453 Ph: (203) 528-5643 | Novotelehealth Hi, Inc. 500 Ala Moana Blvd Honolulu HI 96813-4920 Ph: (203) 528-5643 |
| NPI Number | 1518688928 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/02/2022 |
| Medicare PECOS PAC ID | 1254701279 |
|---|---|
| Medicare Enrollment ID | O20230106001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518688928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cristina Sanchez Jaquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447448659 PECOS PAC ID: 4385807759 Enrollment ID: I20220315001145 |
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