Samala, Gina Ann Leong

Samala, Gina Ann Leong is an individual health care provider with primary practice located at 95-1249 Meheula Pkwy Ste 195, Mililani HI 96789-1791. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Samala, Gina Ann Leong can be contacted via phone (808) 625-7448.

Contact Information

Primary practice address
95-1249 Meheula Pkwy Ste 195 Mililani HI 96789-1791
Fax: (808) 625-7448
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-756 Hawaii

Profile Details

NPI number 1386869691
LBN Legal business name Samala, Gina Ann Leong
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Feb 14th, 2018 - about 6 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 1386869691 NPPES
Hawaii MEDICAID 912194012

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