Gamboa, Benjamin Tiongson

Gamboa, Benjamin Tiongson is an sole proprietor health care provider with primary practice located at 135 S Wakea Ave Ste 107, Kahului HI 96732-1385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gamboa, Benjamin Tiongson can be contacted via phone (808) 873-0299.

Contact Information

Primary practice address
135 S Wakea Ave Ste 107 Kahului HI 96732-1385
Fax: (808) 873-0290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X HD8771 Hawaii

Profile Details

NPI number 1861473233
LBN Legal business name Gamboa, Benjamin Tiongson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Feb 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861473233 NPPES
Hawaii Other 0000201368 HMSA QUEST
Hawaii Other 201368 HMSA QUEST
Hawaii Other A07457901 HMSA QUEST
Hawaii MEDICAID 07457901 HMSA QUEST

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