Provider Demographics
NPI:1477944031
Name:US MED CARE SYNCHRONICITY LLC
Entity Type:Organization
Organization Name:US MED CARE SYNCHRONICITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BOJORQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW, CCM, MBA
Authorized Official - Phone:808-784-2273
Mailing Address - Street 1:1245 KUALA ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3900
Mailing Address - Country:US
Mailing Address - Phone:808-784-2273
Mailing Address - Fax:808-456-2274
Practice Address - Street 1:1245 KUALA ST
Practice Address - Street 2:SUITE 106
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3900
Practice Address - Country:US
Practice Address - Phone:808-784-2273
Practice Address - Fax:808-784-2274
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US MED CARE SYNCHRONICITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-17
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD11056207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty