Healthcare Provider Details

I. General information

NPI: 1063807840
Provider Name (Legal Business Name): ANN CATHERINE GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KUAKINI MEDICAL CENTER 347 N. KUAKINI STREET, HPM 9
HONOLULU HI
96817
US

IV. Provider business mailing address

KUAKINI MEDICAL CENTER 347 N. KUAKINI STREET, HPM 9
HONOLULU HI
96817
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-8461
  • Fax: 808-528-1897
Mailing address:
  • Phone: 808-523-8461
  • Fax: 808-528-1897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number19530
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: