Provider Demographics
NPI:1659606333
Name:CAREWAYS CHILDREN'S FOUNDATION
Entity Type:Organization
Organization Name:CAREWAYS CHILDREN'S FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:HIROSHI
Authorized Official - Last Name:HAYASHIDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:949-916-5437
Mailing Address - Street 1:25982 PALA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6719
Mailing Address - Country:US
Mailing Address - Phone:949-916-5437
Mailing Address - Fax:949-215-3623
Practice Address - Street 1:25982 PALA
Practice Address - Street 2:SUITE 120
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6719
Practice Address - Country:US
Practice Address - Phone:949-916-5437
Practice Address - Fax:949-215-3623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health