Provider Demographics
NPI:1538306188
Name:ALOHA MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:ALOHA MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUONG
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:808-450-2290
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-450-2290
Mailing Address - Fax:808-545-2262
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 710
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-450-2290
Practice Address - Fax:808-545-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-17
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-14898207R00000X
HIDOS-996207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty