Healthcare Provider Details

I. General information

NPI: 1154718989
Provider Name (Legal Business Name): DR. CHAI'S HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 04/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 KEEAUMOKU ST STE I-208
HONOLULU HI
96814-2368
US

IV. Provider business mailing address

825 KEEAUMOKU ST STE I-208
HONOLULU HI
96814-2368
US

V. Phone/Fax

Practice location:
  • Phone: 808-949-0432
  • Fax: 808-949-0433
Mailing address:
  • Phone: 808-949-0432
  • Fax: 808-949-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateHI

VIII. Authorized Official

Name: MR. YUN CHUN HAN
Title or Position: OWNER
Credential: L.AC, LMT
Phone: 808-949-0432