Provider Demographics
NPI:1487819397
Name:JOANA H. MAGNO MD. FACC INC.
Entity Type:Organization
Organization Name:JOANA H. MAGNO MD. FACC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANA
Authorized Official - Middle Name:HARADA
Authorized Official - Last Name:MAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-537-1118
Mailing Address - Street 1:PO BOX 240729
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96824-0729
Mailing Address - Country:US
Mailing Address - Phone:808-537-1118
Mailing Address - Fax:808-537-1409
Practice Address - Street 1:550 S BERETANIA ST
Practice Address - Street 2:SUITE # 201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2414
Practice Address - Country:US
Practice Address - Phone:808-537-1118
Practice Address - Fax:808-537-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD4977174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIL027908OtherHMSA
HI025046-05Medicaid
HIL027908OtherHMSA
HI025046-05Medicaid