Provider Demographics
NPI:1124838891
Name:HAUMEA MEDICAL, INC.
Entity type:Organization
Organization Name:HAUMEA MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MA. LUZ ISABEL
Authorized Official - Middle Name:MOLINA
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:916-980-6814
Mailing Address - Street 1:1257 PLEASANT GROVE BLVD.
Mailing Address - Street 2:STE 110, RM 9
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678
Mailing Address - Country:US
Mailing Address - Phone:916-980-6814
Mailing Address - Fax:
Practice Address - Street 1:1257 PLEASANT GROVE BLVD.
Practice Address - Street 2:STE 110, RM 9
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678
Practice Address - Country:US
Practice Address - Phone:916-980-6814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty