Healthcare Provider Details

I. General information

NPI: 1043442908
Provider Name (Legal Business Name): HAWAII PACIFIC NEUROSCIENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2009
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST STE 104
HONOLULU HI
96817-7357
US

IV. Provider business mailing address

2230 LILIHA ST STE 104
HONOLULU HI
96817-7357
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-4476
  • Fax: 808-263-4476
Mailing address:
  • Phone: 808-261-4476
  • Fax: 808-263-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD12149
License Number StateHI

VIII. Authorized Official

Name: DR. KORE K LIOW
Title or Position: SOLE OWNER
Credential: MD
Phone: 808-261-4476