Healthcare Provider Details

I. General information

NPI: 1407580434
Provider Name (Legal Business Name): HEALTH2ME HAWAII MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST STE 614
HONOLULU HI
96813-2442
US

IV. Provider business mailing address

PO BOX 3001
HONOLULU HI
96802-3001
US

V. Phone/Fax

Practice location:
  • Phone: 808-452-0332
  • Fax: 808-490-0836
Mailing address:
  • Phone: 808-452-0288
  • Fax: 808-490-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER WONG
Title or Position: MANAGER
Credential: MD
Phone: 808-452-0332