Healthcare Provider Details

I. General information

NPI: 1649383415
Provider Name (Legal Business Name): GARRET K NOGUCHI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 801
HONOLULU HI
96817-2362
US

IV. Provider business mailing address

321 N KUAKINI ST STE 801
HONOLULU HI
96817-2362
US

V. Phone/Fax

Practice location:
  • Phone: 808-521-2002
  • Fax: 808-521-0351
Mailing address:
  • Phone: 808-670-7459
  • Fax: 808-800-4131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO131
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: