Healthcare Provider Details

I. General information

NPI: 1760004550
Provider Name (Legal Business Name): SYNERGY HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 05/14/2020
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 714
HONOLULU HI
96817-2362
US

IV. Provider business mailing address

217 PROSPECT ST APT F1
HONOLULU HI
96813-1760
US

V. Phone/Fax

Practice location:
  • Phone: 808-528-3606
  • Fax: 808-538-7850
Mailing address:
  • Phone: 808-741-3037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIAN KITAMURA
Title or Position: DOCTOR
Credential: MD
Phone: 808-741-3037