Healthcare Provider Details

I. General information

NPI: 1013870161
Provider Name (Legal Business Name): OHANA WOUND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

IV. Provider business mailing address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

V. Phone/Fax

Practice location:
  • Phone: 808-556-4031
  • Fax: 808-556-4167
Mailing address:
  • Phone: 808-556-4031
  • Fax: 808-556-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE VALDEZ LABAO
Title or Position: DIRECTOR
Credential:
Phone: 808-556-4031