Provider Demographics
NPI:1851467351
Name:JONEIDI, MAJID (DAC, LAC, NCCAOM)
Entity Type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:JONEIDI
Suffix:
Gender:M
Credentials:DAC, LAC, NCCAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-0547
Mailing Address - Country:US
Mailing Address - Phone:702-488-5647
Mailing Address - Fax:808-486-3416
Practice Address - Street 1:803 KAMEHAMEHA HWY
Practice Address - Street 2:STE. 416
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782
Practice Address - Country:US
Practice Address - Phone:702-488-5647
Practice Address - Fax:808-486-3416
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI406171100000X
HI2830225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist