Maehara, Michael S

Maehara, Michael S is an individual health care provider with primary practice located at 2220 Clark Ave , Long Beach CA 90815-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Maehara, Michael S can be contacted via phone (562) 597-4181.

Contact Information

Primary practice address
2220 Clark Ave Long Beach CA 90815-2521
Fax: (562) 597-7083
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A39815 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 39815 California

Profile Details

NPI number 1316969629
LBN Legal business name Maehara, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 15th, 2016 - about 8 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 1316969629 NPPES
California MEDICAID 00A398150

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