Magdalena Duldulao

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1-140043 Issued in HI

Practice address

91-1750A Ala Loa St
Ewa Beach, HI 96706-1957

Phone

(808) 391-5092

Fax

(808) 200-5552

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Magdalena Duldulao Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1457722571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1750 A ALA LOA ST.",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-391-5092",
            "fax_number": "808-200-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1750A ALA LOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061957",
            "telephone_number": "808-391-5092",
            "fax_number": "808-200-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULDULAO",
        "first_name": "MAGDALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "HI",
            "license": "1-140043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENA",
            "last_name": "DULDULAO",
            "credential": "FOSTER HOME PROVIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Foster Care Agency in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Foster Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.