Healthcare Provider Details

I. General information

NPI: 1659394070
Provider Name (Legal Business Name): HAWAII ASTHMA ALLERGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-128 AIEA HEIGHTS DR SUITE 601
AIEA HI
96701-3939
US

IV. Provider business mailing address

99-128 AIEA HEIGHTS DR SUITE 601
AIEA HI
96701-3939
US

V. Phone/Fax

Practice location:
  • Phone: 808-487-1516
  • Fax: 808-486-4154
Mailing address:
  • Phone: 808-487-1516
  • Fax: 808-486-4154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number3500MD
License Number StateHI

VIII. Authorized Official

Name: DR. FRANKLIN YAMAMOTO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-487-1516