Individual ProviderCleo Kaiaki MaeharaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address600 North Wolfe Street, Jhoc 3235a, Baltimore, MD 21287(410) 955-8450(213) 453-0481PECOS EnrollmentBased on the most recent information from CMS, provider Cleo Kaiaki Maehara does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1477819035Provider TypeIndividualFull NameMaehara, Cleo KaiakiCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/9/2012Last Updated4/9/2012Contact InformationPractice LocationPractice Address600 North Wolfe Street, Jhoc 3235a, Baltimore, MD 21287Phone(410) 955-8450FaxUnlisted FaxMailing LocationMailing Address421 S. Van Ness Ave, 15, Los Angeles, CA 90020Phone(213) 453-0481FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer