Healthcare Provider Details

I. General information

NPI: 1922866672
Provider Name (Legal Business Name): DAVID CHA, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2139 FORT WEAVER RD STE 211
EWA BEACH HI
96706-3609
US

IV. Provider business mailing address

91-2139 FORT WEAVER RD STE 211
EWA BEACH HI
96706-3609
US

V. Phone/Fax

Practice location:
  • Phone: 808-671-7216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CHA
Title or Position: MD
Credential:
Phone: 808-671-7216