Healthcare Provider Details

I. General information

NPI: 1700958790
Provider Name (Legal Business Name): JAMES M WARNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 03/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 KAPIOLANI BLVD APT 4605
HONOLULU HI
96814-2877
US

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number207R0000X
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: