Provider Demographics
NPI:1659062107
Name:MAUI CARE PHYSICIANS LLC
Entity Type:Organization
Organization Name:MAUI CARE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-731-0678
Mailing Address - Street 1:40 KUPAOA ST UNIT B-204
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-6215
Mailing Address - Country:US
Mailing Address - Phone:808-500-3439
Mailing Address - Fax:
Practice Address - Street 1:40 KUPAOA ST UNIT B-204
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-6215
Practice Address - Country:US
Practice Address - Phone:808-500-3439
Practice Address - Fax:808-458-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty