Healthcare Provider Details

I. General information

NPI: 1316144538
Provider Name (Legal Business Name): LEILA AKI OKINAKA-HU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEILA AKI OKINAKA M.D.

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST POB I, 3RD FLOOR
HONOLULU HI
96813-2449
US

IV. Provider business mailing address

1380 LUSITANA ST POB I, 3RD FLOOR
HONOLULU HI
96813-2449
US

V. Phone/Fax

Practice location:
  • Phone: 808-537-7546
  • Fax:
Mailing address:
  • Phone: 808-537-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4576
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: