Healthcare Provider Details

I. General information

NPI: 1497809032
Provider Name (Legal Business Name): YOICHI CHRISTOPHER SOMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 PIIKOI ST #1308
HONOLULU HI
96814-4245
US

IV. Provider business mailing address

88 PIIKOI ST #1308
HONOLULU HI
96814-4245
US

V. Phone/Fax

Practice location:
  • Phone: 808-722-4135
  • Fax: 808-945-3719
Mailing address:
  • Phone: 808-722-4135
  • Fax: 808-945-3719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA93154
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD14216
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: