Healthcare Provider Details

I. General information

NPI: 1245839117
Provider Name (Legal Business Name): HAWAII PRIMARY CARE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 10/22/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 BISHOP ST STE 1810
HONOLULU HI
96813-6455
US

IV. Provider business mailing address

1003 BISHOP ST STE 1810
HONOLULU HI
96813-6455
US

V. Phone/Fax

Practice location:
  • Phone: 808-791-7830
  • Fax:
Mailing address:
  • Phone: 808-791-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT HIROKAWA
Title or Position: CEO
Credential:
Phone: 808-791-7830