Healthcare Provider Details

I. General information

NPI: 1487127395
Provider Name (Legal Business Name): OHANA MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2019
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KEAHOLE PL APT 3210
HONOLULU HI
96825-3424
US

IV. Provider business mailing address

1 KEAHOLE PL APT 3210
HONOLULU HI
96825-3424
US

V. Phone/Fax

Practice location:
  • Phone: 808-292-6473
  • Fax: 267-937-7690
Mailing address:
  • Phone: 808-292-6473
  • Fax: 267-937-7690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KELLY WOYTUS
Title or Position: MANAGER
Credential:
Phone: 808-292-6473