Healthcare Provider Details

I. General information

NPI: 1104158542
Provider Name (Legal Business Name): SANCHEZ PRIME CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 101
HONOLULU HI
96813-4920
US

IV. Provider business mailing address

500 ALA MOANA BLVD STE 101
HONOLULU HI
96813-4920
US

V. Phone/Fax

Practice location:
  • Phone: 877-767-5556
  • Fax:
Mailing address:
  • Phone: 877-767-5556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD3500
License Number StateHI

VIII. Authorized Official

Name: FRANKLIN YAMAMOTO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 866-767-5556