Healthcare Provider Details

I. General information

NPI: 1447670252
Provider Name (Legal Business Name): HAWAII WOUND, OSTOMY AND CONTINENCE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 06/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SAND ISLAND ACCESS RD STE 238
HONOLULU HI
96819-4912
US

IV. Provider business mailing address

420 KUWILI ST SUITE 103
HONOLULU HI
96817-5050
US

V. Phone/Fax

Practice location:
  • Phone: 808-392-5459
  • Fax: 808-791-6990
Mailing address:
  • Phone: 808-392-9238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNE KINUYO JINBO
Title or Position: PRESIDENT
Credential: PHD, APRN
Phone: 808-392-5459