Haley, David Keiki Mai Lani Louis

Haley, David Keiki Mai Lani Louis is an individual health care provider with primary practice located at 800 Seal Beach Blvd Bldg 77, Seal Beach CA 90740-5607. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Haley, David Keiki Mai Lani Louis can be contacted via phone (562) 626-6296.

Contact Information

Primary practice address
800 Seal Beach Blvd Bldg 77 Seal Beach CA 90740-5607
Fax: (562) 626-6290
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1912966474
LBN Legal business name Haley, David Keiki Mai Lani Louis
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1912966474 NPPES
California Other 040819701988 INDEPENDENT DUTY CORPSMAN

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