| Aloha Medical Group Llc | |
|
1329 Lusitana St Suite 710 Honolulu HI 96813-2429 | |
| (808) 450-2290 | |
| (808) 545-2262 |
| Full Name | Aloha Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1329 Lusitana St, Honolulu, Hawaii |
| Authorized Official Name and Position | Chuong Hoang Dinh (OWNER) |
| Authorized Official Contact | 8084502290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Medical Group Llc 1329 Lusitana St Suite 710 Honolulu HI 96813-2429 Ph: (808) 450-2290 | Aloha Medical Group Llc 1329 Lusitana St Suite 710 Honolulu HI 96813-2429 Ph: (808) 450-2290 |
| NPI Number | 1538306188 |
|---|---|
| Provider Enumeration Date | 01/17/2009 |
| Last Update Date | 09/26/2011 |
| Medicare PECOS PAC ID | 9234281973 |
|---|---|
| Medicare Enrollment ID | O20090710000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538306188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD-14898 (Hawaii) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | DOS-996 (Hawaii) | Primary |
| Provider Name | Chuong H Dinh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891997219 PECOS PAC ID: 9638150303 Enrollment ID: I20040527001060 |
| Provider Name | Monsicha Dinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124121686 PECOS PAC ID: 9133200181 Enrollment ID: I20100128000318 |
| Provider Name | Josette Mk Dudoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083846273 PECOS PAC ID: 2365762515 Enrollment ID: I20150616000023 |
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