Healthcare Provider Details

I. General information

NPI: 1467368357
Provider Name (Legal Business Name): CLAIRE TATSUMI YAMADA AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3049 UALENA ST STE 915
HONOLULU HI
96819-1951
US

IV. Provider business mailing address

95-209 HAALILO PL
MILILANI HI
96789-6573
US

V. Phone/Fax

Practice location:
  • Phone: 440-600-8983
  • Fax:
Mailing address:
  • Phone: 808-542-7478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD-291
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: