Provider Demographics
NPI:1932853652
Name:SING, MALIA KOALAULII (DC)
Entity Type:Individual
Prefix:
First Name:MALIA
Middle Name:KOALAULII
Last Name:SING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 MISSION ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3559
Mailing Address - Country:US
Mailing Address - Phone:808-348-9828
Mailing Address - Fax:
Practice Address - Street 1:930 MISSION ST STE 2
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-3559
Practice Address - Country:US
Practice Address - Phone:808-348-9828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1055111N00000X
CA34649111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor