David Keiki Mai Lani Louis Haley Sr., IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

800 Seal Beach Blvd
BLDG 77
Seal Beach, CA 90740-5607

Phone

(562) 626-6296

Fax

(562) 626-6290

NPI assigned

Mar 22, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1912966474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SEAL BEACH BLVD",
            "address_2": "BLDG 77",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405607",
            "telephone_number": "562-626-6296",
            "fax_number": "562-626-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SEAL BEACH BLVD",
            "address_2": "BLDG 77",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405607",
            "telephone_number": "562-626-6296",
            "fax_number": "562-626-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "DAVID",
        "middle_name": "KEIKI MAI LANI LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Independent Duty Corpsman in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.