Provider Demographics
NPI:1164625513
Name:ALOSA, INC
Entity Type:Organization
Organization Name:ALOSA, INC
Other - Org Name:ALA MOANA MEDICAL & AESTHETICS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOSA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-596-4800
Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4403
Mailing Address - Country:US
Mailing Address - Phone:808-596-4800
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 505
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4403
Practice Address - Country:US
Practice Address - Phone:808-596-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty