| Makaloa Medical Clinic Corp. | |
|
1670 Makaloa St Ste 201 Honolulu HI 96814-3232 | |
| (808) 979-6930 | |
| Not Available |
| Full Name | Makaloa Medical Clinic Corp. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1670 Makaloa St Ste 201, Honolulu, Hawaii |
| Authorized Official Name and Position | Yun Suk Hong (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8089796930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Makaloa Medical Clinic Corp. 1670 Makaloa St Ste 201 Honolulu HI 96814-3232 Ph: (808) 979-6930 | Makaloa Medical Clinic Corp. 1670 Makaloa St Ste 201 Honolulu HI 96814-3232 Ph: (808) 979-6930 |
| NPI Number | 1114799350 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 4183077878 |
|---|---|
| Medicare Enrollment ID | O20240130000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114799350 | NPI | - | NPPES |
| Provider Name | Yun S Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568883189 PECOS PAC ID: 8729203898 Enrollment ID: I20140702002780 |
| Provider Name | Samuel Jiun Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003698432 PECOS PAC ID: 5991158685 Enrollment ID: I20240502002411 |
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