Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1055 | HI |
Y | 111N00000X | Chiropractor | 34649 | CA |
N | 111NP0017X | Pediatric Chiropractor | 34649 | CA |
NPI | 1932853652 |
---|---|
Provider Name | Malia Koalaulii Sing |
First Address | Santa Cruz, CA 95060-3559 |
Second Address | Santa Cruz, CA 95060-3559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2022 |
Last Update Date | 10/02/2022 |