Healthcare Provider Details

I. General information

NPI: 1760391924
Provider Name (Legal Business Name): DYLAN S GOTO MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 N KUAKINI ST HPM SUITE 800
HONOLULU HI
96817-2306
US

IV. Provider business mailing address

2855 E MANOA RD STE 105 #384
HONOLULU HI
96822-1854
US

V. Phone/Fax

Practice location:
  • Phone: 808-384-7099
  • Fax:
Mailing address:
  • Phone: 808-384-7099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DYLAN GOTO
Title or Position: PHYSICIAN
Credential: MD
Phone: 808-384-7099