Search › California › 104100000X
Keonekealoha Fatiaki
NPI 1851044747 · on the registry since 2022
Practice
- Address
- 216 W Los Angeles Dr
Vista, CA 92083 - Phone
- (760) 630-4065
- Organisation at this address
- New Haven Youth & Family Services, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 59
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YM0800X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California