Healthcare Provider Details

I. General information

NPI: 1669501003
Provider Name (Legal Business Name): BIMMIE PRICE STRAUSSER II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2301 OLD FT WEAVER RD
EWA BEACH HI
96706-3602
US

IV. Provider business mailing address

36 SAN JACINTO WAY
SAN FRANCISCO CA
94127-2033
US

V. Phone/Fax

Practice location:
  • Phone: 808-671-8511
  • Fax:
Mailing address:
  • Phone: 415-378-6720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD-13779
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: