Healthcare Provider Details

I. General information

NPI: 1831340314
Provider Name (Legal Business Name): PACIFIC MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST SUITE 404
HONOLULU HI
96813-2449
US

IV. Provider business mailing address

1380 LUSITANA ST SUITE 404
HONOLULU HI
96813-2449
US

V. Phone/Fax

Practice location:
  • Phone: 808-951-0433
  • Fax: 808-690-9821
Mailing address:
  • Phone: 808-951-0433
  • Fax: 808-690-9821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE YURIE ASARI
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 808-951-0433