Healthcare Provider Details

I. General information

NPI: 1518148881
Provider Name (Legal Business Name): ONCARE HAWAII INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 05/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST SUITE 608
HONOLULU HI
96813-2449
US

IV. Provider business mailing address

1650 LILIHA ST SUITE 105
HONOLULU HI
96817-3169
US

V. Phone/Fax

Practice location:
  • Phone: 808-532-0315
  • Fax: 808-532-0319
Mailing address:
  • Phone: 808-524-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number10579000
License Number StateHI

VIII. Authorized Official

Name: MR. LESLIE CHINEN
Title or Position: CFO
Credential:
Phone: 808-524-3131