Medical Acadamy of Hawaii and Anatomical Learning Orginization

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION

Practice address

5286 Eastgate Mall
San Diego, CA 92121-2815

Phone

(858) 622-0792

Fax

(858) 866-0760

NPI assigned

Mar 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roy Anthony Brown

Title

Ceo

Phone

(619) 218-6460

Specialties & licenses 3

Addresses

Other names 1

• MAHALO Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1346515095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5286 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212815",
            "telephone_number": "858-622-0792",
            "fax_number": "858-866-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5286 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212815",
            "telephone_number": "858-622-0792",
            "fax_number": "858-866-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-218-6460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAHALO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angel Mederos
• Karina Mederos, RBT
• Medfina Medical Supply Inc
• Medi-Art Home Health Care, Inc.
• Alexa Medica, MD
• Medical Center Pharmacy
• Medical Equipment Device Specialists
• Medical Oncology Associates of San Diego a Medical Group Inc
• Medical Rehab Supply, Inc
• Medical Support Los Angeles a Medical Corporation

• Pain Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.