Healthcare Provider Details

I. General information

NPI: 1851010268
Provider Name (Legal Business Name): REID S. HAMAMOTO M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/27/2022
Certification Date: 08/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 NUUANU AVE APT 1506
HONOLULU HI
96817-2514
US

IV. Provider business mailing address

942 ALA LEHUA ST
HONOLULU HI
96818-2302
US

V. Phone/Fax

Practice location:
  • Phone: 808-299-0071
  • Fax: 888-592-2998
Mailing address:
  • Phone: 808-299-0071
  • Fax: 888-592-2998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. REID HAMAMOTO
Title or Position: OWNER
Credential: MD
Phone: 808-299-0071