Healthcare Provider Details

I. General information

NPI: 1023945433
Provider Name (Legal Business Name): ALEXANDRA TAIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 S KING ST STE 340
HONOLULU HI
96814-2602
US

IV. Provider business mailing address

1481 S KING ST STE 340
HONOLULU HI
96814-2602
US

V. Phone/Fax

Practice location:
  • Phone: 808-204-4664
  • Fax: 808-818-8486
Mailing address:
  • Phone: 808-204-4664
  • Fax: 808-818-8486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: