JLA SENIOR FOOTCARE HI LLC; NPI #1659676971

Contact Information

JLA SENIOR FOOTCARE HI LLC

1888 KALAKAUA AVE
HONOLULU, HI 96815-1510

Phone: 808-347-0432
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JLA SENIOR FOOTCARE HI LLC

NPI Number 1659676971

LBN Legal business name JLA SENIOR FOOTCARE HI LLC

Authorized official ANTHONY INNOCENZI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2011

Last updated 01/18/2011 - About 15 years ago

Identifiers

License #

PO190

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JLA SENIOR FOOTCARE HI LLC

Contact Information

Specialty

Surgery, Foot

NPI Profile & details for JLA SENIOR FOOTCARE HI LLC

Reviews for JLA SENIOR FOOTCARE HI LLC