Healthcare Provider Details

I. General information

NPI: 1588431753
Provider Name (Legal Business Name): JAMES Y SIM, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST STE 1160
HONOLULU HI
96826-1089
US

IV. Provider business mailing address

1319 PUNAHOU ST STE 1160
HONOLULU HI
96826-1089
US

V. Phone/Fax

Practice location:
  • Phone: 808-942-7707
  • Fax: 808-955-3301
Mailing address:
  • Phone: 808-942-7707
  • Fax: 808-955-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES SIM
Title or Position: OWNER
Credential: MD
Phone: 808-728-8368