Healthcare Provider Details

I. General information

NPI: 1699900118
Provider Name (Legal Business Name): JAMES M WARNER MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 05/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 MILILANI ST SUITE 702A
HONOLULU HI
96813-2993
US

IV. Provider business mailing address

1288 KAPIOLANI BLVD APT 4605
HONOLULU HI
96814-2888
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-9363
  • Fax: 808-523-9418
Mailing address:
  • Phone: 808-597-1379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD11902
License Number StateHI

VIII. Authorized Official

Name: JAMES M WARNER
Title or Position: MEMBER
Credential: MD
Phone: 808-597-1379